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Request New Residential Service

To request additional information about our services, please fully complete the form below. Upon reciept of your information, a customer service specialist will contact you within one business day.


   New Commercial Service | New Industrial Service
Residential Services
General Service Information
Name
Address
Address 2
City/State/Zip    
Home Phone
FAX
E-mail
Preferred Method of Contact
Phone E-Mail
If You Live In Anthem, in Which Part Of Anthem Do You Live?
Parkside
Country Club
Not in Anthem
Check if billing info is the same as the service info.
Billing Information:
Name
Address
Address 2
City/State/Zip   
Start date
(mm/dd/yyyy)
Do you currently have Paradise Waste/Allied Waste containers onsite?
Yes
No
I understand AW service terms (click on this link to read the document)
 
 
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4811 W Lower Buckeye Rd, Phoenix, Arizona - (602) 237-2078