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Community Name*

Community Phone*

Community Address*

Street Address City State ZIP Code

Number of Units*

Student Housing (Must Choose One)*

Number of Beds*

Property Mgmt. Company Name*

Property Mgr. Name*

Property Mgr. Email*

Regional Mgr. or Prop. Ownership Name*

Regional Mgr. or Prop. Ownership Email*

Trash Container Choice (Must Choose One)*

13 Gallon Trashcan System (Industry Standard. Recommended System. Most Affordable System.)
22 Gallon Waste Box System (NOT INDUSTRY STANDARD. Container Stays Outside Resident's Doorstep at ALL Times.)

Do You Currently Have a Valet Trash Provider? (Must Choose One)*

Current Valet Trash Company Name*

When does your Current Contract End?*

Date Field*

Current Valet Trash Price per Unit

Interested In*

Expected Start Date*

Additional Comments

How Did You Find Us?*

Explain Here*

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