Southside Disposal - ACH Authorization

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Please fill out the information below and select your services
We will send a confirmation email once the form is submitted. After our team processes your request, we’ll send a secure payment link where you can safely enter your payment information.
Name*

First NameLast Name
Date*

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Date
Email*
example@example.com
Address*

Street Address

Street Address Line 2

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Phone Number*
Format: (000) 000-0000.
Monthly Payment for Weekly Trash Pick-up and Disposal Service*
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Trash Can with Curbside Pickup
Waste Wise will provide the customer with a 95 gallon trash can, and will pick-up the trash every week once (Trash Can Must Be Placed by Curb By Resident)

$24



Trash Can with Home Pickup
Waste Wise will provide the customer with a 95 gallon trash can. We will come and collect your trashcan from outside the front or side of the home. (The trash can must be visible and have no barriers or gates)

$30



Additional Trash Cans (OPTIONAL)
Waste Wise may provide additional 96 gallon trash cans in addition to the can provided for an extra $15 per month per can. These additional cans must be used by a current customer at the same address.

$15 Quantity



Customer Owned Trash Cans with Curbside Pickup
Customer will use their own trash can. Waste Wise will pick-up the trash every week. (Trash Can Must Be Placed By Curb By Resident)

$16



Customer Owned Trash Cans with Home Pickup
Customer will use their own trash can. Waste Wise will pick-up the trash every week. (The trash can must be visible and have no barriers or gates)

$22



Additional Customer Owner Trash Cans
Customers supplying their own trashcans may have multiple trashcans but must select this item and the number of additional trash cans they wish to have picked up.

$10 Quantity



Composting Service With Container Swap
Simply place your compostable materials in our 18-gallon bin. This small, easy-to-manage bin is perfect for households. On Pickup Day please leave the container outside and we will swap it out with a new clean one.

$15



Total

$0.00
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