Welcome to City of High Point Form Center

2. Cart Type

   1. Garbage Cart $70 - Only allowed 2 per residence
   2. Recycle Cart $70 - Only allowed 2 cart per residence
   3. Yard Waste Cart $70 - Only allowed 4 per residence
4. First Name*
5. Last Name*
7. Address
9. City
10. State
11. Zip Code
13. Utility Account Number*
15. Delivery Location*
17. Email *
19. Phone Number*
21. Best time to reach you by phone, 8 a.m. - 5 p.m., if necessary:

    1. Morning
    2. Afternoon
Leave This Blank:


23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit

* indicates a required field