Garbage/Recycling/Compost Form

1

Property Owner* This field is required.

First Name

Last Name

2

Contact Number

3

E-mail* This field is required.

example@example.com

4

Address* This field is required.

Civic/Physical Address

PO Box (if applicable)

Town/City

Province

Postal Code

Country

5

Garbage Bin SizeLarge Dimension = H 43" x W 28" x D 30" Small Dimensions = H 43" x W 22.5" x D 24"

Garbage - Large (96gal)

Garbage - Small (64gal)

N/A

6

Recycling Bin SizeLarge Dimension = H 43" x W 28" x D 30" Small Dimensions = H 43" x W 22.5" x D 24"

Recycling - Large (96gal)

Recycling - Small (64gal)

N/A

7

Compost Bin SizeONLY AVAILABLE TO PROPERTIES LOCATED WITHIN THE LUD BOUNDARIES OF BLUMENORT, GRUNTHAL & MITCHELL. IF YOU ARE NOT SURE IF YOU QUALIFY, SELECT THE SIZE YOU WOULD PREFER AND WE WILL DETERMINE IF YOUR PROPERTY QUALIFIES.

Compost - Large (96gal)

Compost - Small (64gal)

N/A

8

Do you require assistance to get the cart to the road due to health limitations?

YESNO

9

Once you hit submit, we will review the request, reply confirmation of request and send out the bins selected as soon as possible (usually 2-3 business days).