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2. Please use this form to request new or replacement curbside cart. We will confirm your submission and estimated delivery date as soon as possible. If you have any questions, or are seeking commercial recycling service, please call us at 919-968-2788 or email us at recycling@orangecountync.gov.
4. Name*
5. Phone Number*
6. Email Address
8. Street Address*
10. City*
11. Zip Code*
13. Property Type*
    -- Select One --Single-Family HomeTown HomeCommercial / Multi-Family Unit (Apartment)
14. Is This New Construction?*
    -- Select One --YesNo
16. Reason for Request*
    -- Select One --New CartReplace/Repair CartAdditional Cart
17. If reason is repair/replacement, please explain why (e.g. wheel fell off my cart)*
19. Preferred Contact Method
    -- Select One --PhoneEmail
Leave This Blank:


20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

* indicates a required field