Trash Service Order Form

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After you fill out this order request, we will contact you to go over details and availability before the order is completed. If you would like faster service and direct information please contact our Office at 660-582-5573 or email info@maryvilletrash.com

Email *

Are you a new or existing customer?

I am a new customer

I am an existing customer

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What is the item you would like to order? *

Please enter the product number

Recurring Trash Pickup

Dumpster

Other:

Type of Service

Residential

Business

Rental Property

One Time Pickup

Other:

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Your name *

Address (Location of Service) *

Phone number *

Preferred contact method to Confirm Order *

Phone

Text

Other:

Questions and comments

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This form was created inside of Herbert Emery Sanitation.