Wellfleet Household Garbage and Recycling Pickup Service

Please complete and PRINT the form, or use the buttons below the form to complete your purchase online.

Mail it with your CHECK to:
Seaside Disposal, P.O. Box 1145, Eastham, MA 02642.

Trash pick up on Tuesdays and Fridays. Recycling pick up on Sundays.

Billing Name
First Last
Billing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
phone 1
phone 2
email
referred by
Service Address
Weekly service
Start of Service
MM slash DD slash YYYY
End of Service
MM slash DD slash YYYY
Start of service
MM slash DD slash YYYY
End of service
MM slash DD slash YYYY
Weeks
Total
service town
CAPTCHA
weeks
total
Name
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