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Rubbish Vacation Request

  1. You must stop your rubbish pickup for at least (4) four consecutive weeks.
  2. Pick Up Day*
  3. This date should correspond to the day of the week your rubbish is picked up.
  4. This date should correspond to the day of the week your rubbish is picked up.
  5. If you are not sure of an actual return date, enter the approximate month we should expect to hear from you.
  6. Temporary Mailing Address
    Fill in this address if you want your bill sent to another address while you are gone.
  7. Use this area for any additional comments or concerns.
  8. Use this area for any additional comments or concerns
  9. Leave This Blank:

  10. This field is not part of the form submission.