Wellfleet – Seaside Disposal

Please complete and PRINT the form.
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
Date Format: MM slash DD slash YYYY
End of Service
Date Format: MM slash DD slash YYYY
Start of service
Date Format: MM slash DD slash YYYY
End of service
Date Format: MM slash DD slash YYYY
Weeks
Total
service town
weeks
total
Phone
This field is for validation purposes and should be left unchanged.