[text* postcode default:post]
You’re in our area! We just need a few more details: We don’t cover your area. Get in touch to see if we can still help. This isn't a valid postcode.
[select* yards "Minimum - 1yd" "1.5 - 3 yd" "4yd" "8yd" "10yd" "12yd" "14yd" "16yd"]
That’s a maximum of loading time
[file photo_rubbish limit:3000000 filetypes:.png|.jpg|.jpeg|.gif]

[text* fullname]
[email* email]
[text* collection-address]
[tel* phonenumber]
[text* town-city]

Is there anything else about the collection site or location of the junk that you feel the team should know?
[textarea additional-info]
[acceptance acceptance]
[recaptcha recaptcha]
[submit "Okay, book my van"]