Garbage Management Intake

Waste Service Setup

Garbage Management Intake Form

Set up comprehensive waste management services for your property.

Property Information

Property Address *

Property Type *

City *

State *

ZIP Code *

Number of Units

Contact Information

Primary Contact Name *

Primary Phone *

Email Address *

Alternate Contact

Alternate Phone

Service Requirements

Service Type *

Pickup Only

We handle pickup and disposal

Full Management

Complete waste management including bin maintenance

Recycling Only

Recycling pickup and processing

Custom Service

Tailored service package

Pickup Frequency *

Bin Size *

Number of Bins *

Additional Services

Recycling ServiceComposting ServiceBulk Item PickupHoliday Service

Preferred Pickup Day

Service Start Date *

Access Instructions

Special Requirements

Current Service Information (Optional)

Current Provider

Current Monthly Cost

Reason for Changing Service

Agreement

Signature Date *

Service Agreement: By submitting this form, you request waste management services from A-Team Total Care and agree to our standard service terms and pricing.