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* - Required Field
Full Name *
Street Address *
City *
State *
Zip Code *
E-mail *
Phone Number *
Service Start Date *
Do you currently recycle? *
Yes
No
If you answered "Yes" above, did you...
...use the city's drop off sites?
...use a curbside recycler?
If you chose curbside recycler, Who?
Who is your current trash hauler? *
How did you discover our services? (Check all that apply)
TV
Radio
Newspaper
Direct Mail
Friend/Family
Internet/Search Engine
Facebook
Other
If "Other", please specify:
Referred by:
Promo Code
$9.99/month - Auto Pay with Credit/Debit Card or ACH
Bill $39.96 every 4 months
$10.99/month - Pay by mail with check
Bill $43.96 every 4 months
Yes, please send me information on prepaying for 1 year
and earn 250 points, a $25 value
Comments *
I have read and agree to the
Terms of Service
.*
Yes
Service Areas: All of Lincoln
Bennet
Cheney
Eagle
Emerald
Hickman
Holland
Martel
Milford
Roca
Walton
Waverly
More
coming
soon