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City of Grants

Additional Trashcan Request

I am requesting additional trashcan(s) be delivered to my home. I understand the cost for each additional trashcan(s) will be $6.00 per month and by signing this agreement, I agree to pay the additional monies.

How many additional cans do you need?

Account Number

Phone Number

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First Name

Last Name

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I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.