Service Order Annual 2 can

OC CleanACan Service Area: *

Have you used our services before? *

Best Contact #: *

Area Code & Phone Number

Type of Contact #: *

Home Phone Cell Phone

E-mail: *

Trash Collection Day: *

Please use the fields below to tell us what types of cans will be cleaned & the quanity.

Regular Trash: *

Enter can amount

Recycle: *

Enter can amount

*Yard Waste: *

Enter can amount

*NOTE: A $5 surcharge will be manually added for each Yard Waste container as these cans require more time and resources.