City of Eloy Commercial Account Pick Ups Per Week
624 North Main Street, Eloy, AZ 85131
(520) 464-3401 Phone
(520) 466-3760 Fax
Please complete with the requested information indicating any changes to commercial trash service and
return this form to the Finance Department. Thank you for your assistance.
Above-requested changes are authorized for this account.
___________________________________
Signature
___________________________________
Print name
___________________________________
Title of signer
___________________________________
Date
Name:
Phone #:
Service
Address:
Mailing
Address:
Account #:
Email:
Select size(s) of container(s) currently on-site:
90 gallon
2 yard
300 gallon
3 yard
450 gallon
4 yard
Select new size(s) of container(s):
90 gallon
*only one pickup per week available
4 yard
2 yard
6 yard
3 yard
8 yard
Select number of pickups per week:
one pickup per week
two pickups per week
Customers has option to get garbage service from another service provider. Check here if that is you request.
click to sign
signature
click to edit
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