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2. Refuse Size Change

   Refuse (gray) totes are available for residents in two sizes.

   21-gallon ($10.91 per month)

   32-gallon ($20.27 per month)

   Please fill out and submit this form to make changes to your Refuse tote size.

4. Service Address:*
6. Account Number:
8. Name on Account:*
10. Phone Number*
12. Current Refuse Tote Size:

    1. 21-gallon
    2. 32-gallon
    3. 32-gallon (more than one)
    4. No Tote on Site
13. Please Change Refuse To:

    1. 21-gallon
    2. 32-gallon
    3. 32-gallon x 2
    4. 32-gallon x 3
    5. 32-gallon x 4
    6. 32-gallon x 5
15. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
17. Electronic Signature
Leave This Blank:


19. 1. Receive an email copy of this form.
20. Email address

    This field is not part of the form submission.

21. Submit

* indicates a required field