2. First and Last Name*
3. Service Address*
5. Email Address*
6. Phone Number *
8. I am requesting:*

   1. A return trip (extra pickup) for my city-provided garbage cart.
   2. A bulk item pickup.
10. Return Trip Policy*

    Requests for return trips (extra pickups) will be completed within 2 business days of request being submitted. Return trips may not be done the same day as your regular garbage day. We do not service personal carts; please refill your city provided garbage cart. The charge for a return trip will be added to your utility bill and is based on your cart size: $7.33 for 20/36 gallon carts, $14.66 for 64 gallon carts, and $21.99  for 96 gallon carts. Please set your cart out for collection by 6am the next business day after submitting your request.

    1. I have read and understand the policy above.
12. Bulk Item Collection*

    1. Recliner/Chair $14.66
    2. Box Spring $14.66 (Twin)
    3. Box Spring $21.99 (Queen)
    4. Box Spring $29.32 (King)
    5. Mattress $14.66 (Twin)
    6. Mattress $21.99 (Queen)
    7. Mattress $29.32 (King)
    8. Sofa $21.99

    1. Loveseat $14.66
    2. Hide-A-Bed $36.65
    3. Kitchen Table $14.66
    4. Kitchen Chair $7.33
    5. Carpet (4' long sections, rolled/tied) $14.66
    6. BBQ (tank removed) $14.66
    7. Other*

    Items we cannot take include: refrigerators, televisions, computers, washers/dryers, hot water heaters, dishwashers, stoves, yard debris/trees/sod, tires, fuel tanks/propane tanks, hazardous waste, roofing material, rock/concrete/bricks. Must be a City of Marysville garbage customer as charge(s) will be added to your utility bill.  The pick-up will occur on your next scheduled collection day.

14. Quantity*
15. Quantity*
16. Quantity*
17. Quantity*
19. Quantity*
20. Quantity*
21. Quantity*
22. Quantity*
24. Quantity*
25. Quantity*
27. Other*

    Please describe the item(s). We will determine the cost and contact you for prior approval before processing your request.

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29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

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