Diamond Waste - Dumpster Rentals & Service

Estimate Request Form

Diamond Waste Services, Inc. is pleased to offer the convenience of this on line estimate request form. Please fill in the information as completely as possible and click the submit button. A representative will contact you shortly with price estimate information. * is required.

Contact / Billing Information:

1. Contact Name*:

2. Business Name*:

3. Address:

4. City:

5. State:

6. Zip Code:

7. Phone Number*:

8. Cell Phone:

9. Nextel:

10. Fax*:

11. Email:

12. Web Site:

Job Site Information:

13. Project / Site Name*:

14. Project Number:

15. Job Site Street Address*:

16. Cross Street*:

17. Site City*:

18. Site State*:

19. Site Zip Code*:

20. Site Contact Person*:

21. Site Phone*:

22. Site Fax:

Waste Material Information:

23. Start Date*:

24. Capacity Needed*:

25. Type of Waste Material*:

26. Comments: