Choice Waste Services | Garbage Collection

Residential Trash Service Request

Number of trash carts:

1 trash cart (95 gallon cart included with service for $22.00 per month/ $66 quarterly)

2 trash carts (additional 95 gallon cart is $5.00 per month/ $15 quarterly)

Quarterly Total: (1 x Week Trash Pick Up)

Name

First Last

Service Address:

Street Address Address Line 2 City ZIP / Postal Code

Billing Address is Different

Yes

Billing Address:

Street Address Address Line 2 City ZIP / Postal Code

Phone Number:

Email:

Enter Email Confirm Email

Desired Start Date

(please allow 1 week to begin service)

Electronic Quarterly Billing

Yes, enroll me in electronic quarterly billing.

Notes:

Monday – Friday

8am – 5pm

12914 Old Stage Rd. Chester, VA 23836