Contact Information
Name
*
Phone
*
Email
*
# Of Trash Cans
# Of Trash Cans
1
2
3
4
5+
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Service Frequency
How often?
Monthly $25 per can
Bi-Monthly (every other month) $30 per can
Quarterly (every 90 days) $35 per can
Semi-Annual (every 6 months) $45 per can
One time Service 65$ per can
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Address
City
Postal code
When Is Your Trash Day?
Trash Pick-Up
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
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