Sign-Up

Please fill out this form, if you need more information or are interested in signing up and a representative from KB Recycling will be in touch as soon as possible. Please note: all new residential customers are assessed an initial $20 bin set up fee.

First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code:	(5 digits)
State:
Daytime Phone:
Cell Phone:
Email:
Weekly Pick-Up	$25
Bi-Weekly Pick-Up	$15
Referred By
Comments:	Enter comments here!