Low Flow Container Request
By completing this form, I understand that I am requesting a service change to my property. I understand that instead of a 96 gallon trash and recycling wheeled carts, I am opting for 35 gallon trash and recycling wheeled carts. I also understand, once I opt in for the lower option, that I will not be able to make a switch to a larger wheeled cart for 1 calendar year. Rates for the low flow option and the standard rate can be found on the Lower Allen Township website at www.latwp.org.
Name on Account
*
First Name
Last Name
Billing Account Number
*
This is found on the bill. This number contains a hyphen. Omit the hyphen when entering the 8 digits.
Property Location
*
Street Address
Street Address Line 2
City
State
Zip Code
Billing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
By completing this form, I am requesting a "low flow" service for trash and recycling. This service will be a 35 gallon toter on wheels for both trash and recycling.
*
Yes, I want this service.
I understand that my request will be reviewed by staff before submitted to billing. Accounts for all utilities must be in good standing.
*
Agree
My request for "low flow" option will be billed on the next billing cycle.
*
I understand my bill will not be prorated and the next billing cycle will reflect the new rate for the "low flow" option.
All trash must be inside the wheeled cart for collection.
*
I understand that only trash that is inside the wheeled cart will be collected.
Email - Used to confirm the change of service
*
example@example.com
Submit
Should be Empty: