Name
*
First Name
Last Name
Phone
Please enter a valid phone number.
Type of Phone Number
Mobile
Home (Landline)
Office (Landline)
Email
*
example@example.com
Service (Home) Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Is your billing address the same as your service address?
*
Yes
No
Billing Address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
GARBAGE CART
Each home is automatically registered to receive a 95-gallon garbage cart. No action is needed unless you prefer a smaller 65-gallon cart for garbage, or to utilize a personal container for garbage or for additional containers.
Garbage Cart Choices
*
LRS supplied 95-gallon garbage cart ($19.95/month)
LRS supplied 65-gallon garbage cart ($19.25/month)
Resident supplied personal garbage cart (visit LRSrecycles.com/Kildeer for personal cart requirements) ($19.95/month)
Would you like an additional 95-gallon garbage cart?
*
No. I do not want an additional 95-gallon garbage cart.
Yes. Please deliver an additional 95-gallon garbage cart for $2.50per month. (Cost $2.50 per month, billed through LRS)
RECYCLING CART
Each home automatically receives one 95-gallon recycle cart. No action is needed unless you prefer a smaller 65-gallon cart for recyclables or an additional container.
Would you prefer a 65-gallon (small) cart for recyclables instead of the 95-gallon?
*
No. I’d like the standard 95-gallon recycle cart.
Yes. Please deliver a 65-gallon recycle cart.
ADDITIONAL RECYCLE CART – OPTIONAL
Would you like to rent an additional 95-gallon recycle cart?
No. I do not want an additional 95-gallon recycle cart.
Yes. Please deliver an additional 95-gallon recycle cart for $2.50 per month. (Cost - $2.50 per month, billed through LRS)
YARD WASTE CART - OPTIONAL
Would you like to rent a 95-gallon cart for yard waste?
No. I do not want a 95-gallon yard waste cart.
Yes. Please deliver a 95- gallon yard waste cart. - Cost - Subscription program $200.00/yr (visit LRSrecycles.com/Kildeer to learn more about the yard waste program)
Additional Notes/Messages
SUBMIT
Should be Empty: