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2. First Name
3. Last Name
5. Address1
7. Cart Size
   Please select a cart size for your trash pick-up. The sizes are pictured below.
9. Which size cart would you like?

   1. 32 Gallon Cart
   2. 64 Gallon Cart
   3. 96 Gallon Cart
11. 32 Gallon Cart
    

    (1 bag)
12. 64 Gallon Cart
    

    (2 bags)
13. 96 Gallon Cart
    

    (3 bags)
15. Thank you!
    Your cart will be delivered to your home soon.
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17. 1. Receive an email copy of this form.
18. Email address

    This field is not part of the form submission.

19. Submit

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