Whitetail Disposal Sign Up

Sign Up for New Residential Service

First Name *

Last Name *

Where will we be picking up the trash?

Service Address *

City *

County *

Township *

Zip *

Mobile Phone *

Email *

Confirm Email *

Would you like future bills to be sent by mail or email?

Mail

Where should we send bills?

Use same address as Service Address

Billing Address

City

State

Zip

Would you like someone from Whitetail Disposal to contact you to set up autopay?

Yes

When would you like to start service? NOTE: Due to a high volume of sign ups, you will be required to choose a date at least two weeks from now to give us time to deliver trash cans. We thank you for your patience.

Start Date *

Twice per week pickup (additional $15 per quarter).

What size of trash can would you like?

Trash Can Size *

Recycle Can Size *

Can Size	Height	Width	Depth
96	45.375"	27.5"	33.25"

Do you mind telling us who your previous provider was?

Previous Provider *

How did you hear about us?

Referral

If you have questions or concerns, please contact the office at 610.754.0103.