Garbage & Recycling Poly Cart Options

Please indicate how many ADDITIONAL poly carts you are requesting.

Number of additional GARBAGE Poly Cart ($5.95 per additional cart PER month)*

Number of additional RECYCLING Poly Cart ($5.95 per additional cart PER month)*

By submitting this form, I understand:*

I have requested the additional poly cart(s) listed to be delivered to the above address.

I understand I will be billed monthly for the additional carts requested above.

If form is emailed/faxed/submitted online, I must call to confirm that form and DL/ID was received.

I will be required to keep the additional requested cart(s) for at least six months before I can request for them to be picked up.

I must submit a POLY CART PICK-UP REQUEST FORM in order to stop the billing for the additional poly cart(s) and for the carts to be picked up.

Monthly fees are subject to change.

Signature*

Date Field

Additional Poly Cart Request