Recycling Cart Return Form

Thank you for providing your information and selection for recycling cart options. Please fill out the form below and we will contact you if there are any further questions.

Recycling Options

Yes, I recycle and should be delivered a 95 gal recycling cart

No, I DO NOT recycle

Do you currently have a blue Vogel recycling bin?Vogel recycling bins will be picked up when carts are delivered. We will not pick up municipality provided bins.

 Yes, I currently have a blue Vogel recycling bin

Co-Cust#(This is the 10-digit number on your statement.)

Municipality Property is located:  (i.e. Adams Township, Saxonburg Borough  

Account Name

Service Address

Service Address(House # and Street Address)

Service Address Line 2(Apartment or Unit Number)

Service City

Service State

Service Zip

Billing Address

Billing Address(if different from service address)

Billing Address Line 2(Apartment or Unit Number)

Billing City

Billing State

Billing Zip

Additional Information

Email address

Paperless Billing

IF YOU HAVE NOT ALREADY DONE SO:  Check this box if you would like to receive your bill via Email. By selecting this option, your next statement will be sent to you from [email protected]. If you do not receive your quarterly statement, please check your spam/detained folder.

Home Phone

Cell Phone

Authorized Additional Person on Account(Optional)

Authorized Additional Person Contact Number

Additional Contact Phone Type

Home

Cell

Work

Name of person filling out form

 

 

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