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2. Please Confirm:*

   1. Please note that these requests are forwarded to the trash company MEGA, and can take up to a month to be delivered. Also, the bins may be different sizes, colors and will likely not be NEW.
4. Name
5. Email Address
7. Address
9. City
10. State
11. Zip Code
13. Phone Number
15. Bins Requested:

    1. New Trash Bin
    2. New Recycling Bin
    3. Additional Trash Bin
    4. Additional Recycling Bin
    5. Replacement Trash Bin
    6. Replacement Recycling Bin

    ** If requesting a REPLACEMENT of a damaged bin, please contact DPW at 508-336-7407 once your new bin(s) have been delivered, so arrangements can be made to pickup the old bin(s).

17. Comments
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21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

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