Forms • Recycle Opt-In

Recycle Opt-In

Leave This Blank:

What is your first and last name?*

What is your street address? *

Are you already an existing Town of Southern Pines customer (water, sewer, trash or other billed service)?*

Yes

What is the name on the Town of Southern Pines utilities account? (If different than your name - look on your latest Utilities Bill)

What is your phone number?*

What is your email address?*

Do you need a second can? A second can will cost $75 (one time)*

Yes

Is this a residential or commercial property?*

Do you agree to a monthly charge of $10 per month for recycling services? (for commercial properties, the monthly service is $10 per cart up to two carts).*

By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.*

I Agree

I Do Not Agree

* indicates required fields.

Live Edit

Contact Us

Quick Links

Site Links