Jersey Garbage Can Cleaners

Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is your billing address different than your home address?*

NoYes
Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Garbage Collection Day - cleaning will take place on the same day as your garbage collection. Most waste haulers collect 2 days per week. Cleaning will be done on one of those days.*

MondayTuesdayWednesdayThursdayFriday
Help us make sure we clean the right cans! Color of Cans/ Where are they kept / Any other notes you think would be relevant for us *
How did you hear about us?*

Direct MailSaw the TruckInstagramFacebookWord of MouthHangerGoogleTAPintoThat Westfield PodcastGolf Course GuideOther
Referral (if applicable)

Options*

Monthly - 1 CanService and Billing once per month ($18)

$18.00 for each month

Monthly - 2 Cans$18 first can + $9 each additional can. Service and Billing once per month ($27)

$27.00 for each month

Monthly - 3 Cans$18 first can + $9 each additional can. Service and Billing once per month ($36)

$36.00 for each month

Monthly - 4 Cans$18 first can + $9 each additional can. Service and Billing once per month ($45)

$45.00 for each month

Monthly - 5 Cans$18 first can + $9 each additional can. Service and Billing one per month ($54)

$54.00 for each month

Monthly - 6 Cans$18 first can + $9 each additional can. Service and Billing one per month ($63)

$63.00 for each month

Monthly - 7 Cans$18 first can + $9 each additional can. Service and Billing one per month ($72)

$72.00 for each month

Monthly - 8 Cans$18 first can + $9 each additional can. Service and Billing one per month ($81)

$81.00 for each month

Monthly - 9 Cans$18 first can + $9 each additional can. Service and Billing one per month ($90)

$90.00 for each month

Enter coupon

You have selected multiple cans, will any of those cans be recycling?*

YesNoNot applicable
Recycling Collection Day - cleaning will take place on the same day. We are aware most towns have set schedules every other week.*

MondayTuesdayWednesdayThursdayFriday
I agree to receive text messages from JGCC at the phone number listed above. Message frequency varies and includes appointment reminders and promotional messages. Message and Data Rates may apply, opt out at any time by replying "stop"No, I don't want to receive text messages from JGCC
See our privacy policy for details on how we handle your information. We never share or sell your opt-in information
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