New service request form

account holder first and last name
(all accounts must be in the name of the resident residing at the address)

Email-This is where your invoices and account information will come
(please check your spam/junk folder if you have not heard from us within 24 business hours)

Phone Number

Service Plan
95 gallon= plan capacity of (8) 13 gallon bags per week.
45 gallon= plan capacity of (3) 13 gallon bags per week.

Pease note: plans should accomodate your weekly usage. any additional bags above plan rate will be charged at $2 per bag.

Trash cans (can size must match current service plan)
can fee is a one time fee. if service is cancelled for any reason, the can is yours to keep

Requested Service Start Date
(can deliveries for new service occurs weekly on wednesday's. To be placed on the current week's can delivery route, payment must be received by Tuesday at 5pm.)
(further details will be emailed after sign up)

Property Address

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