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.

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