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2. Please complete the online form below to request an annual yard waste decal. The annual yard waste decals are $35.00 each.
   
4. 
   
6. Contact Information
8. Account Number:
   (xxxxx-xx)*
10. Name:*
12. Service Address:*
14. Mailing Address:*
16. City:*
18. State: *
19. Zip:*
21. Daytime Phone Number:*
23. Email Address:*
25. Number of Annual Yard Waste Decals:*
27. Please review the above information before pressing the submit button. By submitting the request the fee will be added to your monthly billing.
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29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit Submit and Print

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