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Residential Recycling Container Purchase Form
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This form has been modified since it was saved. Please review all fields before submitting.
Fill out this form to request a new recycling container for residential recycling. Call 847-716-3568 with questions.
First Name
*
Last Name
*
Address
*
Phone Number
*
Email Address
*
This is the address we will use to contact you about payment.
Container requested
*
35 Gallon: $50 per container
95 Gallon: $67 per container
Number of containers requested
Once you submit this form, our Finance department will follow up with an invoice for payment.
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* indicates a required field
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