Recycle Opt-In

2. Do you want to opt in to keep recycling?*

   1. Yes
   2. No

   If no, then on January 1st, 2019 your recycle bin will be your second trash cart. (Not used for recycle.) If yes, then a yellow lid order will be placed for your recycle to continue. Please make sure your cart is visible from the street so the lid may be changed.
4. First Name*
5. Last Name*
7. Address1*
9. City
10. State
11. Zip
13. Phone Number*
14. Email Address
16. Please pick what bins you currently have
18. Cart1

    1. Cascade

    Note the bar in the inset
19. Cart2

    1. El Monte
20. Cart3

    1. Otto

    Number above the inset
21. Cart4

    1. Toter

    Note the white numbers located on the inset
23. 
Leave This Blank:


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

    This field is not part of the form submission.

29. Submit

* indicates a required field