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DRIVER’S LICENSE NUMBER OR LAST 4 DIGITS OF THE SOCIAL SECURITY NUMBER CONTACT PERSON (PRINT NAME) APPLICATION FOR SOLID WASTE SERVICES BUSINESS NAME AS LISTED ON OCCUPATIONAL TAX CERTIFICATE NAME OF BUSINESS / RESIDENT LOCATION ADDRESS MAILING ADDRESS TELEPHONE NUMBER WATER BILL ACCOUNT NUMBER PLEASE RETURN THIS FORM PLEASE PRINT IN INK OR TYPE COMMERCIAL CURBSIDE MULTIPLE UNITS? YES NO IF YES, HOW MANY? COLLECTION FOR BOTH PAPER AND BOTTLE AND CAN RECYCLING will be the same as garbage collection days and hours. DATE OF BIRTH RECYCLING SERVICES DO NOT WRITE BELOW THIS LINE (OFFICE USE ONLY) Service level change requested Date Initial Yellow Copy - Customer • White Copy - Athens-Clarke County. PLEASE NOTE: In addition to the service fee noted above, you are required to purchase authorized bags, endorsed by the Solid Waste Department, in which to place your garbage for pickup. These bags cost $1.50 each and are sold in bundles of 20 at the following locations: The fee of $1.50 per bag covers the cost of the bag and disposal of your garbage at the landfill. • ACC Solid Waste Department (1005 College Avenue) • ACC Water Business Office (596 Prince Avenue) • ADDA Parking Services (133 East Washington Street) YOU MAY CHANGE YOUR SERVICE LEVEL ONCE-A-YEAR WITHOUT PENALTY. TIMES ARE SUBJECT TO CHANGE DEPENDING ON CUSTOMERS' NEEDS.YOU'LL BE NOTIFIED OF ANY CHANGES. COST (INCLUDES RECYCLING) CHOOSE A SERVICE LEVEL NUMBER OF COLLECTIONS $ 81.00 PER MONTH $160.00 PER MONTH ONCE-A-DAY (MONDAY - SUNDAY) TWICE-A-DAY (MONDAY - SUNDAY) TWICE-A-WEEK (MONDAY AND THURSDAY) RESIDENTIAL CUSTOMERS ONLY (this includes 10 authorized bags per month) $ 40.00 PER MONTH D 1A 2A B (NOT AVAILABLE TO BARS AND RESTAURANTS) THREE TIMES - A -WEEK (MONDAY through SATURDAY) SIGNATURE (AUTHORIZED REPRESENTATIVE) DATE WHEN DO YOU WANT YOUR GARBAGE COLLECTED? 4 A.M. 2 P.M. 11:00 P.M. MONDAY - SATURDAY SUNDAY 2 P.M. 11:00 P.M. HOW OFTEN DO YOU WANT YOUR GARBAGE COLLECTED? NOTE: Businesses serving lunch and dinner are REQUIRED to have a MINIMUM SERVICE LEVEL of 2A! 4 A.M. $ 31.00 PER MONTH P.O. Box 1868 Athens, GA 30603 (706) 613-3501 Fax: (706) 613-3504