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2. 
4. Make sure you follow all guidelines as you prepare for your pickup!
   Click Here for the "Spring Cleaning" details!
6. Important Program Reminders:
   1. One pickup per household
   2. Items must be curbside by 7:00 AM on your assigned day
   3. City staff cannot assist with moving items
   4. Only approved items will be collected
   5. Items need to be placed at least 3 feet away from parked vehicles, mailboxes and poles, and garbage containers.  
   6. Missed pickups will NOT be rescheduled
8. First Name*
9. Last Name*
11. Is your address inside City Limits? *

    Click here to validate address

    1. yes
    2. no
12. Servcice Address*
14. City
15. State
16. Zip Code
18. Phone Number:
19. Email Address:
21. Pick Up Date *

    Please be prepared to have all items placed curbside by 7:00 AM on the date you choose.   Items must be separated from regular household trash & non-approved items will not be collected.  If you miss your pickup day, we will not be able to reschedule.  

    1. May 4
    2. May 5
    3. May 6

    1. May 7
    2. May 11
    3. May 12

    1. May 13
    2. May 14
    3. May 18

    1. May 19
    2. May 20
    3. May 21
23. Items for Pickup

    Please review the approved and prohibited item list on our website.  Select the items you plan to place curbside (check all that apply):

    Items not accepted will be left at the curb and may result in a Code Enforcement violation.

    1. Furniture (couch, chairs, tables)
    2. Mattresses/box springs
    3. General bulky household items
    4. Appliances/Metal Items
    5. Paint Cans (Paint must be dry. Paint may be poured onto newspaper to dry or place kitty litter into the cans to dry up the paint.)
    6. Tires (Up to four per household - rims will not be collected, must be removed from tires.)
25. Comments/Questions

    If you have additional items, not within the list, or questions, add them here.  

27. Required: *

    Please read carefully & check each box: 

    1. I understand items must be placed curbside by 7:00 AM on my assigned pickup day
    2. I understand City staff will NOT assist with moving items
    3. I understand only approved items will be collected
    4. I have reviewed the YES/NO list on the City website
    5. I understand missed pickups will NOT be rescheduled
    6. I understand uncollected or non-compliant items may result in Code Enforcement action
29. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
31. Electronic Signature
Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit Submit and Print

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