Form Center

2. Name
3. Email Address
5. Address
7. City
8. State
9. Zip Code
11. Phone Number*
13. Bulk Items*

    Please provide a list of the items you would like to schedule for bulk collection. Only items listed will be picked up by our sanitation department. If an item is not listed, it is not eligible for bulk collection. 

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15. 1. Receive an email copy of this form.
16. Email address

    This field is not part of the form submission.

17. Submit

* indicates a required field