Flemington – Atlantic Waste Services

Flemington Sanitation Services Sign up Form

Name *

First

Last

Email *

Phone *

Physical Address *

Address Line 1

Address Line 2

City

State

Zip Code

What Assistance Do You Need? *

Residential Service Curbside (including yard waste and bulk)
Second Cart

Payment Options *

Autopay
Pay By Mail

Debit/Credit Card Information

Your card will be charged $65.00 around the 15th of the month before the start of the quarter.

Name on the Card

Card Number

Expiration Date

CVC

Billing Address

Zipcode

Comment or Message *