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Name*

First Last

Pickup Address*

Street Address Address Line 2 City State ZIP Code

Is your Pickup Address the same as your Mailing Address?*

Yes
No

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Is this your only pickup address?*

Yes
No

How many additional pickup addresses do you have?

1
2
3

If you have more than 3 additional pickup addresses, please call us at 307-399-2028.

Pickup Address*

Street Address Address Line 2 City State ZIP Code

Pickup Address*

Street Address Address Line 2 City State ZIP Code

Pickup Address*

Street Address Address Line 2 City State ZIP Code

If your pickup is currently on a side street, or you would prefer your pickup on a side street (we do not provide alley pickups), please let us know in the box below.

Phone*

Email

How would you like to pay?*

Bank Account
Check
Credit or Debit Card (+$2.50 card processing fee)

If you are renewing for the 2024 season, please click Current Customer.

SIGN UP NOW - 2024 Season - Laramie, WY