Form Center

2. There is a $10 fee to exchange trash containers, which will be added to your trash bill. Once this form is submitted, you will receive a call from the Town to arrange the day that the swap will be made.
4. Name
6. Account Number (if known)
8. Service Location Address
10. Billing Address
12. City
13. State
14. Zip Code
16. Email Address
18. Phone Number
20. Current Service Level
    -- Select One --20 Gallon Can - $48.00/quarter35 Gallon Can - $68.25/quarter64 Gallon Can - $96.00/quarter96 Gallon Can - $129.00/quarter160 Gallon Can - $168.00/quarter
22. New Service Level
    -- Select One --20 Gallon Can - $48.00/quarter35 Gallon Can - $68.25/quarter64 Gallon Can - $96.00/quarter96 Gallon Can - $129.00/quarter160 Gallon Can - $168.00/quarter
24. Effective Date
    Effective Date
Leave This Blank:


26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

* indicates a required field