Serving Northern Michigan
Service Name: (as you want on billing)
Address:
Billing Address: (if different than service address)
Phone:
Cell:
Email:
Used only by American Waste - kept private & confidential.
PLEASE RESPOND BY MARCH 13, 2010
Services include: (1) 96-gallon tote for trash &
(1) 18-gallon bin for recycling
I DO NOT WANT A RECYCLE BIN
Call
(231) 943-8088
if you have any questions
or to make a payment over the phone.
THE INFORMATION BELOW WILL BE SENT
TO YOUR CURRENT WASTE HAULER.
*Current waste hauler information -
PLEASE COMPLETE
Current waste hauler:
Account #
I,
want my trash service with your company cancelled effective
. I no longer need your service. Please DO NOT contact me. I have already contracted with another company.
Signed:
Date:
Address:
City, State, Zip:
*Please complete all information above.
