We will contact you within 24hrs at the number provided to confirm this order.

*Name:
*Address:
City:	*Zip
*Home Phone:	- -
Cell Phone:	- -
Email:
*Two Major Cross Streets:	(Example: Steven's Creek Blvd/Saratoga Ave)
*Type of can(s) requiring cleaning:	Trash Recycling
*Which service plan would you like?	Select One One Time Only 6 Months Plan 1 Year Plan
*What day is your trash can emptied?	Select Day Monday Tuesday Wednesday Thursday Friday
Please note: The cleaning service is to be carried out on the day your trash can is regularly emptied by your local trash disposal company.
What time is your trash can emptied?	Select Time Before 9:00 AM Before 10:00 AM Before 11:00 AM Before 12:00 PM Before 1:00 PM Before 2:00 PM Before 3:00 PM Before 4:00 PM Before 5:00 PM Before 6:00 PM Sorry, I don't Know
Additional Comments:
We look forward to hearing from you!

Thank you for considering Clean Trash Cans!