RESIDENTIAL
RECYCLING CART
REQUEST FORM
(New Recycling Program 6-1-2013)
RECYCLING CART REQUEST
I, DO HEREBY AGREE TO PARTICIPATE IN THE CITY OF DOUGLAS' RECYCLING PROGRAM. MY
RECYCLING CART WILL BE EMPTIED BIWEEKLY AND I WILL PLACE THE CART AT THE CURB
BEGINNING THE EVENING BEFORE AND NO LATER THAN 6:00AM THE DAY OF COLLECTION AND
RETURN THE CART TO A LOCATION OUTSIDE OF THE CITY'S RIGHT OF WAY AND OUT OF VIEW NO
LATER THAN 6:00AM THE DAY AFTER COLLECTION. I UNDERSTAND THAT I CAN HAVE MY
RECYCLING CART CANCELLED BY SIGNING TO STOP THIS SERVICE. I ALSO UNDERSTAND THAT IF I
MISUSE, CONTAMINATE, OR DO NOT USE THE RECYCLING CART, I MAY HAVE THE CART CANCELLED
WITHOUT MY PERMISSION. BY SIGNING BELOW, I ACKNOWLEDGE AND UNDERSTAND HOW TO
RECYCLE AND WHAT MATERIALS MAY BE RECYCLED THROUGH THIS PROGRAM.
SERVICE ADDRESS: SERVICE ACCOUNT NUMBER:
CUSTOMER SIGNATURE: DATE:
EMPLOYEE SIGNATURE
FOR MORE INFORMATION ON RECYCLABLE ITEMS,
VISIT, www.cityofdouglas.com/recycling.
RECYCLING CART CANCELLATION REQUEST - CUSTOMER
I, DO HEREBY REQUEST MY RECYCLING CART TO BE PICKED UP. I NO LONGER WISH TO
PARTICIPATE IN THE RECYCLING PROGRAM.
CUSTOMER'S SIGNATURE:
DATE:
RECYCLING CART CANCELLATION REQUEST -
CITY OF DOUGLAS
CART WAS CANCELLED DUE TO MISUSE,
CONTAMINATION, OR NO USE OF RECYCLING
CART BY CUSTOMER.
CITY OF DOUGLAS EMPLOYEE
REQUESTING CANCELLATION:
Please FAX (912)389-3406, EMAIL (recycling@cityofdouglas.com
), or drop off this form at City Hall, 224 E. Bryan
Street, Douglas, Georgia. For more information, call (912)389-3450/389-3499.
