Request Additional Can

2. • The Can must be kept for at least one year. 
   • The cost for an additional Black Can is $17.40 per month.
   • The cost for an additional Green Can is $3.40 per month.

   Online requests will receive a confirmation email with information on scheduled date by the following business day.    

4. Failure to completely fill out the form will result in a delay of your request.
6. Address*
8. Name on Account*
10. Email Address
12. Contact Phone Number*
14. Type of Can*
    -- Select One --Black CanGreen Can
15. Number of Cans Requested*

17. By submitting this request I agree to comply with the regulations and agree to have the fee billed to my account. Amount may not show on the utility bill on the same month as request and so may show on the next month’s utility bill. Please read the Black and Green Can Regulations.

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18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

* indicates a required field