2. • Scheduled: During your subdivision's free collection date (you must register at least two business days in advance of your service date; up to 3 cubic yards allowed for free service)
   • Off-Schedule: Not during your subdivision's scheduled collection date ($50 fee charged for every 3 cubic yards)
4. This Pick-up Is*

   1. Scheduled - No Fee
   2. Off-Schedule - Fee Charged
6. Name*
8. Address*
10. City*
11. State*
12. Zip Code*
14. Subdivision
16. Email Address*
18. Daytime Phone Number*
20. Items to Be Picked up (Not to Exceed 3 Cubic Yards Total in Order to Remain Free)*

    1. Large brush pile (no greater than 8 feet in length, placed in a separate pile from other trash, not bundled)
    2. Furniture
    3. Appliances without Freon, which can include water heater, washer, dryer, dishwasher, stove (remove latched doors first)
    4. Lumber (no longer than 8 feet)
    5. Mattress
    6. Items with glass, such as glass doors, windows, mirrors, TV sets and computer monitors (glass taped with big "X" from corner to corner and placed in a separate pile that the driver will notice.)
    7. Basketball pole
    8. Other bulky item(s) that cannot fit in your trash cart

22. Your Bulky trash collection should contain no more than 3 cubic yards total. This includes the amount for trash and/or yard waste combined. Your entire bulky collection should be no larger than what you could (approximately) fit in the bed of a pickup truck.

24. If "Other bulky item(s)" please specify (acceptable bulky items only, no items that can fit inside your trash cart)
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