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Application to Receive a New Garbage/Recycling Toter

  1. Primary Account Holder

  2. Is there a Secondary Account Holder?

  3. Service Address

  4. Is your mailing address different from your service address?

  5. Do You Want Additional Garbage Totes?*

  6. Do You Want Recycling Tote(s)?*

  7. Do You Want Garbage Totes Removed From The Service Address?*

  8. Do You Want Recycling Totes Removed From the Service Address?*

  9. Are any of the totes you would like removed damaged?

  10. If this form does not cover your request, please feel free to contact CBPU at 517-279-9531, Monday-Friday, 8:30 a.m. to 5:00 p.m.

  11. We may need to contact you at the phone number that you have provided regarding your request.

  12. Leave This Blank:

  13. This field is not part of the form submission.