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TRASH AND RECYCLING CONTRACT

2. Resident's Name

4. Service Address

6. Mailing Address (if different)

8. Home Phone No.

9. Cell/Other Phone Number

11. Email Address

13. Driver's License

    Please Upload a Copy of your driver's license

15. Property Owners Name

16. Property Owner's Address

18. Date Service to Begin

19. Today's Date

21. * Trash and Recycling is picked up each Wednesday and may be re-scheduled due to inclement weather and holidays. Please contact Town Hall for updates.

    * Trash and Recycling is picked up each Wednesday and may be re-scheduled due to inclement weather and holidays. Please contact Town Hall for updates.

23. *You may place an additional 5 cubic yards of trash outside of the cart and unlimited amounts of bundled items such as tree limbs.

    *You may place an additional 5 cubic yards of trash outside of the cart and unlimited amounts of bundled items such as tree limbs.

25. *Trash and Recycling should be out by 7:00 am. Your trash must be secured/contained in plastic bags and in the cart with the lid closed.

    *Trash and Recycling should be out by 7:00 am. Your trash must be secured/contained in plastic bags and in the cart with the lid closed.

27. I agree to make a quarterly payment(s) of $71.34 for regular rate or $63.67 for senior rate

    1. Agree

28. I am interested in Electronic Billing

    1. Yes
    2. No

30. I am interested in automatic payment options

    1. Yes
    2. No

32. I request confidentiality of my account

    1. Yes
    2. No

34. I would like to receive e-news from the Town of Shady Shores

    1. Yes
    2. No

37. I am eligible for Senior Discount

    1. Yes
    2. No

    A senior discount is given to residents aged 65 and over.

39. CONNECT FEE
    New connections require a $25 connection fee. If your service is discontinued for non-payment you may be subject to a $50 connect fee and additional deposit fees.

    New connections require a $25 connection fee. If your service is discontinued for non-payment you may be subject to a $50 connect fee and additional deposit fees.

43. DEPOSIT REQUIRED
    New residents are required to pay a deposit equal to one quarterly payment. The deposit will be applied to your account after one year with no more than two (2) late payments.

    New residents are required to pay a deposit equal to one quarterly payment. The deposit will be applied to your account after one year with no more than two (2) late payments.

45. * The deposit may be waived for residents who choose to pay one year in advance or sign up for ACH payment and electronic billing.

    * The deposit may be waived for residents who choose to pay one year in advance or sign up for ACH payment and electronic billing.

49. Agreement

    1. Agree

    I understand that payments are due thirty (30) days before the beginning of each quarter. If payment is not received within fifteen (15) days of the due date, a late fee will be assessed. If payment is not received within ten (10) days of the 2nd Notice, the town has the option to turn unpaid accounts over to a collection agency, issue a citation for ordinance violation, and/or terminate collection services. The Town may elect any or all options at its sole discretion. Shady Shores Ordinance 292-05-2016 requires that all residents maintain an account for solid waste and recycling. Failure to comply with this ordinance may result in the issuance of a fine in the municipal court.

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