Service Registration Form

Please complete the registration form to begin your service with CWS. After you have completed the form, we will reach out to you to provide you with your pick-up day schedule.

Name

First Name

Last Name

Phone Number

No dashes - only numbers

Email Address

Billing Address

This is where the billed will be mailed, if you choose to have your bill mailed.

Service Address

This is where trash services will be provided.

What billing method do you prefer?

Check/Money Order: Bill will be mailed on the 15th of the previous month, your check is due by the 5th of the following month. Credit/Debit Card: There is a $1.00 fee. We will collect your card number and charge it on the 5th of the month. Cash App: We will request $19.95 from you on the 1st of the month.

Which service would you prefer?

$19.95 - You provide your own trash can. $25.95 - We provide you with a CWS trash can.

I agree to receive SMS messages regarding service changes and information. I understand text and data rates may apply.

I DO NOT agree to receive SMS messages regarding service changes and information.