New Customer Form

Service Locations

We are currently only servicing Greenville, Durham, Coxsackie, Rensselaerville, Westerlo, Berne, Knox (South of Township Road, Acra (North of Rt 23) and their Hamlets. Thank you for your support as we plan on expanding in the future.
Name
Phone Number
Email Address
Physical Address

Street Address

Street Address Line 2

CityState

Zip Code
Mailing Address (if different than physical)

Street Address

Street Address Line 2

CityState

Zip Code
Date of First Trash Pickup

MonthDayYear
2 digit month, 2 digit day, 4 digit year
If you reside in Westerlo, Berne, Southern Knox, Rensselaerville, or any of their hamlets (excluding Preston Hollow), please select a Tuesday pickup.

If you reside in Durham, Cornwallville, Preston Hollow, or any of their hamlets, please select a Wednesday pickup.

If you reside in Greenville, Coxsackie, or any of their hamlets, please select a Thursday pickup.

If you’re unsure which pickup day applies to your address, please don’t hesitate to call us with any questions!
Type of Home
5% Military Discount (discount will be applied to your invoice)
My Products
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64 Gallon Trash & Recycling$41.98
tax included

Quantity

96 Gallon Trash & Recycling$44.98
tax included

Quantity

Home Pickup$15.00
Convenient at home trash pickup service. No need to bring your cans to the end of the driveway! We will take care of everything right from where you keep your cans. Price is per month.

Total $0.00
Would you like a paper invoice to pay by check?
A $2 paper billing fee will be added to each paper invoice. Check payments are accepted quarterly, semi-annually, or annually. Monthly check payments are not available.
How often would you like to receive your invoice?
Invoices and receipts will be sent to the email provided. Automatic monthly payments may be set up during your initial payment for personal ease.

Your first invoice will be sent out one (1) week prior to your service start date. On this day you will also receive your garbage and recyling cans.
How did you hear about us?

Other
If a current customer referred you, who?
Service Agreement
Signature
Please verify that you are human
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Service Locations

My Products*

My Products