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2. Please check the City of Longview Privacy Policy and Disclaimer before completing this form.
4. Business Information
6. Company Name*
7. Service Address*
9. Company Representative*
10. Email Address*
12. Phone Number*
13. Water Bill Account Number
15. Billing Address (if different than above)
17. City
18. State
19. Zip Code
21. Service Information
23. Basic Commercial Garbage and Recycling Service
25. The basic service for Sanitation commercial is $30.36 per month, plus fuel fee and sales tax. Customers receive one (1) 95 gallon garbage cart and one (1) 95 gallon recycling cart. Garbage and recycling will be collected one (1) time per week. Additional carts can be leased for a fee. Carts remain the property of the City of Longview. To find your collection day visit LongviewTexas.gov/Sanitation or call the Sanitation Department at 903-237-1250.
27. Additional Carts
29. Additional garbage carts are available for $7.50 each, per month, plus tax. Additional recycling carts are available for $7.50 each, per month, plus tax. There is no Fuel Fee for extra carts.
31. How many extra garbage carts are needed? ($7.50 per month, plus tax)*
    -- Select One --01234
32. How many extra recycling carts are needed? ($7.50 per month, plus tax)*
    -- Select One --01234
34. Statement of Agreement
36. PLEASE READ CAREFULLY: By submitting this authorization, the customer authorizes City of Longview employees and vehicles to enter the customer’s property at the address given above to collect garbage and recycling. The customer also understands and agrees that the City of Longview is not responsible for damage to private drives or roadways that results from the City’s collection operations. By submitting this application, I agree to the above statements and acknowledge that all information I have provided is true and correct. I have read and understand all of the above information.
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39. Email address

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