Organic Collection Sign Up Form

Make a difference and sign up for organics collection! This form registers you for curbside collection services.

Full Name*

First NameLast Name

E-mail*

Phone Number*

Area CodePhone Number

Service Address (Fridley only)*

Street Address

Street Address Line 2

Zip Code

Is your billing address the same as your service address?*

YESNO

Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Dwelling Type*

Single-Family HomeDuplexTriplexFourplex

How did you hear about the organics program?

Social mediaNewsletterReferralMailing

Enter referral code or the name of the current subscriber who referred you. You both will receive one free month of collection!

Curbside organics collection is currently available to Fridley residents in buildings with four units or less. Larger units are not eligible at this time.

By submitting this form, you are requesting organics curbside service to begin and agree to be billed by Allied Waste/Republic Services. You are confirming that you are at least 18 years of age and reside at the residence listed on this form.

Request Confirmation*

I agree

This form will be submitted directly to the service provider, Allied Waste / Republic Services. If you have any questions on the program, please contact the city at (763) 572-3594.