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Heavy Trash Pick-Up Request

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