No Yes

Pick Up Delivery

Address

Begin typing Address and select from the populated drop-down *

Please indicate how many of each type of toter(s) being delivered to the address listed above.

Address 2

# of 96 Gallon Toters at $70.00 each

If “Pick Up”, Toter(s) can be picked up from the Recycling Center at 300 Walton Avenue on any Saturday (except Container Days) between 8 am and 10am. Be prepared to show ID to the worker on duty.

If “Delivery”, Toter(s) will be delivered to the curb at your address. Anticipate a 1-2 week wait for delivery.

Pick Up or Delivery?

Last Name

Application Fee

Pick Up Date

First Name

Signature

Phone #

ZIP

Business Name (If Commercial Purchaser)

Email

City

By signing below, I the owner certify that all of the information provided in this application is true and accurate.

Toter Order

Applicant Details

Pick Up Formula

Note that Toters cannot be returned or exchanged. The fee for this application is:

Business Phone # (if applicable)

State

# of 48 Gallon Toters at $60.00 each

Certification

Pick Up Details