Bannockburn Service Enrollment or Change Request

Name*

First NameLast Name
Contact Number*
Please enter a valid phone number.
Type of Phone Number*

MobileHome (landline)
Email*
example@example.com
Would you like to use this email for paperless quarterly invoicing?*

YesNo
Service (Home) Address*

Street Address

Street Address Line 2

CityState

Zip Code
*Is your mailing address the same as your service address?*

YesNo
Mailing address to receive service updates:*

Street Address

Street Address Line 2

CityState

Zip Code
YOU MAY CHOOSE FROM ONE OF 4 PROGRAMS
LIMITED SERVICE PROGRAM | INCLUDES ONE (1) LRS TRASH AND ONE (1) LRS RECYCLING CART *

CURBSIDE SERVICE: $25.94/MONTHBACK DOOR/TOP OF DRIVE SERVICE: $50.00/MONTH
(1) 96 GALLON TRASH CART & (1) 96 GALLON RECYCLING CART
*NO STICKERS REQUIRED FOR EXTRA LOOSE TRASH BAGS*
UNLIMITED SERVICE PROGRAM | INCLUDES ONE (1) LRS TRASH AND ONE (1) LRS RECYCLING CART*

CURBSIDE SERVICE: $33.94/MONTHBACK DOOR/TO POF DRIVE SERVICE: $52.50/MONTH
*NO STICKERS REQUIRED FOR EXTRA LOOSE TRASH BAGS*
ADDITIONAL TRASH CART – OPTIONAL
Would you like to rent 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 $5.00 per month.
Cost | $5.00 per month, billed quarterly through LRS
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 $5.00 per month.
Cost | $5.00 per month, billed quarterly through LRS
YARD WASTE/ORGANICS SUBSCRIPTION PROGRAM - OPTIONAL
Would you like to enroll in our annual subscription yard waste service program? LRS Village of Bannockburn Yard Waste/Organics season runs annually from April 1 to November 30.*

No. I will use stickers, when needed (Collections take place on Wednesdays only, during the season)Yes. I agree to the rate of $200 for the 2025 season. (Collections take place on Wednesdays only, during the season)Yes, I agree to the rate of $200 for the 2025 season. Please also deliver a 35-gallon organics cart for $5.00 per month, billed only during the season. (Collections take place on Wednesdays only, during the season)
Cost | $5.00 per month, billed quarterly through LRS
YARD WASTE/ORGANICS CART – OPTIONAL
Would you like to rent an additional 95-gallon recycle cart?*

No. I do not want a 35-gallon recycle cart.Yes. Please deliver a 35-gallon yard waste/organics cart for $5.00 per month.
Cost | $5.00 per month, billed quarterly through LRS
Additional notes/messages
I have reviewed the information above and confirm that it is accurate for my waste, recycling and yard waste service needs.
Should be Empty:

ADDITIONAL TRASH CART – OPTIONAL

ADDITIONAL RECYCLE CART – OPTIONAL

YARD WASTE/ORGANICS SUBSCRIPTION PROGRAM - OPTIONAL

YARD WASTE/ORGANICS CART – OPTIONAL