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City of Shrewsbury
New Customer Set-Up Form

Please fill out the form below to begin using our services.

New Customer Set-up Form

All information flagged with the red asterisk (*) must be filled out before submitting the form.

Customer Name:*   Date:*
Email Address:*   Service Address:*
City:*   Zip Code:*
Phone Number:*   Alternate Phone Number:
Billing Information if different than service address:
Billing Address:   Billing City:
Billing Zip Code:      
DL/SSN #:*   DOB:*

STANDARD SERVICE for $18.50 per month Includes:

(Senior Citizen Rate $17.50 **)

Once a week Pickup.
     Yard Waste
     Recycle Bin (one 18 gal bin included)

** Must be 65 + to qualify for Senior Rate

Optional Services Available

Bulky item pick up once per quarter
White Goods pick up Scheduled with Office
Bulky Items 1-2 Scheduled with Office

No Charge

65 gallon Cart for Trash $2.75 each/month # of units required    
65 gallon Cart for Yard Waste*** $2.75 each/month # of units required    
65 gallon Cart for Recycling*** $2.75 each/month # of units required    
Additional 18 gallon Recycle Bin $1.00 each/month # of units required    
Recycle Bin Lids $0.50 each/month # of units required    
*** By DNR law, trash and yard waste must be separated and require separate containers



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