Request for Garbage Services

Bluebonnet Capital of Texas

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

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CUSTOMER INFORMATION:

NAME: *

PHONE: *

STREET/MAILING ADDRESS: *

CITY, STATE, ZIP: *

EMAIL ADDRESS: *

ACCOUNT NUMBER:

If you do not have an account number, leave that field blank.

SERVICE REQUESTED:

TYPE OF SERVICE REQUESTED: *

95 Gallon Cart

65 Gallon Cart

Dumpster

Number of 95 Gallon Carts:

Number of 65 Gallon Carts:

CONFIRMATION OF ORDER:

DATE OF REQUEST: *

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CONFIRMATION: *

Confirm Request

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.

SIGNATURE: *

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.

Supporting Documents

Request for Garbage Services (31 KB)

Contact Information

Tracy Shirley

Sonia Tucker

Madison Russell

512.756.6093

PO Box 1369
1001 Buchanan Dr. Suite #4
Burnet, TX 78611

View Full Contact Details

1001 Buchanan Drive, Suite 4 | P.O. Box 1369

Burnet, TX 78611 | (512) 756-6093