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Account Holder

First Name*

Last Name*

Phone Number(s)*

Email Address*

Secondary Contact(if applicable)

Name

Phone Number(s)

Email Address

Service Address

Street Address*

City*

ZIP Code*

Mailing address is different from service address

Property Ownership

Do you own or rent?*

I own the propertyI rent the property

Billing & Service Preferences

Billing Preference*

Paper BillsE-Bills (recommended — more secure & faster)

Garbage Cart Size Requested*

20 Gallon40 lbs max35 Gallon75 lbs max60 Gallon100 lbs max90 Gallon145 lbs max

Note: In addition to your garbage cart, standard service also includes yard debris, glass, and recycling. If you require different or additional services, please call our office at 503-357-3510.

Yard Debris Cart (65 gallon)

YesNo

Note: Please note that yard debris cart service is not included in the Rural Washington County program.

Recycle Cart (95 gallon)

YesNo

Approximate Start Date*

Note: Your actual start date is dependent on your scheduled service day. We are unable to guarantee a specific start date when submitting online — our office will confirm your start date when we contact you.

Additional Notes (optional)

0 / 500 characters

Please note: Our office will contact you to collect payment and finalize your account before service begins. If we are unable to reach you, no service will be started. Please ensure your contact information is accurate and that you are available to receive our call or email.

* * Required fields. Our office will contact you to confirm your account.

Locally-owned garbage & recycling services in Washington County, Oregon.

Contact

503.357.3510P.O. BOX 5069Aloha, Oregon 97006Office Hours: Mon–Fri 8:00am–4:30pm8145 NE Nicholas Ct. Hillsboro, OR 97124

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