Request for Garbage Services

Use this form to request garbage services ONLY if you do NOT have other utility services with the City of Burnet.

CUSTOMER INFORMATION:
SERVICE REQUESTED:
TYPE OF SERVICE REQUESTED: *
Dumpster Size:
For pricing on dumpsters, refer to the Utility Rates link on the right.
CONFIRMATION OF ORDER:
CONFIRMATION: *
By clicking here and signing below, I am requesting the service described above. I agree to any fees that may be added to my account and accept all responsibilities connected to this request.
Please type your first and last names here. By typing my name on this form, I agree that my electronic signature is the legally binding equivalent to my handwritten signature. Whenever I execute an electronic signature, it has the same validity and meaning as my handwritten signature. I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding.