Form Center

2. First Name*
3. Last Name*
4. Phone Number
6. Email Address*
   Enter your e-mail address so you can recieve a confirmation that you were added to the pick up list.
7. City of Huntsville Utilities Account #*
   Enter your City of Hunstville Wate/Sewer/Garbage account number here. This number will be on your monthly bill.
9. Service Address*
   Enter the location where the items will be picked up.
11. Description*
    Please describe the type of heavy trash that will need to be picked up. Note: Miscellaneous items is not a valid description. Please read the Heavy Trash Specifics to be sure your items qualify for pick up.
Leave This Blank:


13. 1. Receive an email copy of this form.
14. Email address

    This field is not part of the form submission.

15. Submit

* indicates a required field