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? *

Missed Pick Up
Damaged Cart/Container
Change of Account
General Question/Comment/Inquiry

Debit/Credit Card Information

Your card will be charged $64.50 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 *