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2. Name*
3. Email Address
5. Service Address*
7. Phone Number*
8. I am requesting*

   1. An additional cart
   2. A cart exchange
10. My current cart is:*

    1. 65 gallons
    2. 95 gallons
11. I would like to exchange my cart for a cart of this size:*

    1. 65 gallons
    2. 95 gallons
12. Terms and conditions*

    1. I understand that there is a fee for cart exchanges more than ninety days after cart issue and a delivery fee for the new cart at a rate set by Town Council.
14. I would like one additional cart of this size:*

    1. 65 gallons
    2. 95 gallons
15. Terms and conditions*

    1. I understand that there is a limit of two solid waste carts per residential address, an additional monthly fee and a delivery fee for the second solid waste cart at a rate set by Town Council.

17. Billing for the additional/exchanged solid waste carts will be included in the resident's water/sewer billing. Fees are not pro-rated or adjusted. Resident acknowledges that delinquent balances may result in the removal of the additional cart from the property. Please allow 5 to 7 business days for delivery of additional/exchanged solid waste cart.

19. Electronic Signature*

    By entering my full name and submitting this request, I agree to the terms of use set by the Town Council in the Solid Waste Collection Policy, including cart and delivery fees for additional carts and cart exchanges.

20. Date*
    Date
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22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

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