Residential Waste - Services Subscription

Altering subscription service is offered at no charge in September up to September 24th. Any change of subscription outside this period is subject to a $25.00 service charge.

Please complete this form indicating your preferences and mail your payment separately to: PSDS, P.O. Box 2711, Palm Springs, CA 92263-2711

Your new service will start the following month.

Full Name:

E-mail:

Phone:

Service Street
Address:

Account Number:

Today's Date:

I'd like to subscribe to (check one):

	Economy Service – twice-weekly curbside collection, limit one can each pickup day.
	Family Value Service – twice-weekly curbside collection, limit four cans each pickup day.
	Standard Service – twice-weekly walk-in collection (50 ft max.), limit two cans each pickup day.
	Estate Service – twice-weekly walk-in collection, no can limits.

Additional Comments:

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