BULK TRASH REGISTRATION

BULK TRASH REGISTRATION

BOROUGH RESIDENTS ONLY
EVENT DAY: OCT 12TH 10AM - 3PM

LOCATION: 2060 WHITEHALL RD LITTLESTOWN PA

This is large bulk items

REGISTRATION FORMS DUE BY: OCT 11TH @ 7AM
Customer Details:
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail*
example@example.com
By signing below, you are confirming that you reside within the Borough limits and agree to the banned items listed below.

-No Electronics

-No Liquids

-No Hazardous Material

-No tires

- No brush, trees, limbs, sticks, branches, bushes etc.

THE UPLOADED DRIVER LICENSE MUST RESIDE WITH IN BOROUGH. ONLY THE PERSON WHOSE ID WAS SUBMITTED AND SIGNED THIS FORM IS ALLOWED TO UTILIZE DUMPSTERS. ID IS REQUIRED UPON ARRIVAL TO SITE.
Upload Driver License*

Cancelof
By Checking this box you agree to all the terms above and confirm you are a resident in the borough limits.*

Yes I agree & confirm
Should be Empty: