New Client Sign Up Step 1 of 2 50% Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Gate Code (If Applicable) Phone*Email* How did you hear about us?Saw Container or TruckFlyerFacebookNextdoorSearch EngineWord of MouthOther(We are a Green and paperless company and all bills/invoices will be sent electronically) Service Selection (Taxes, environmental fees and fuel charges are included in price, NO HIDDEN FEES!) All services come with a 96 gallon wheeled cart unless stated otherwise and you must only use our carts* Do you have a previous Ward Waste cart from a prior resident?*Select OneYesNoStart Date* MM slash DD slash YYYY Please select your desired start of service date. Carts are delivered within 3-5 business days.Product NameCurb Services (Where Your Driveway Meets the Road by the Mailbox)* Curb Garbage Annual Pre-pay $350 (Covers Full Year of Service) Curb Garbage $30 per Month (Credit/Debit Card Auto Drafted) Curb Garbage $35 per Month (No Auto-Draft) Extra Garbage Cart $20 per Month Extra Garbage Cart $240 per Year Curb Recycling Weekly Annual Pre-pay $290 (Covers Full Year of Service) Curb Recycling Weekly $25 per Month (Credit/Debit Card Auto Drafted) Curb Recycling Weekly $30 per Month (No Auto-Draft) Extra Recycling Cart $15 per Month Extra Recycling Cart $180 per Year Total $0.00 View Service Terms and ConditionsConsent* I agree to all the terms and conditions. Your Initials* There will be a one-time $75 account set-up and cart delivery fee for new accounts on their first invoice and the first invoice must be paid before service can begin. NO PERSONAL CARTS. All services come with a 96-gal cart. Carts must be out the night before.* I acknowledge the one-time fee. Promo Code: Any valid promo code will reflect on your invoice.Comments:PhoneThis field is for validation purposes and should be left unchanged.
