Membership Checkout - Spiffy Bin

You have selected the Yearly Plan - 2 Bins Bi-Monthly membership level.

2 Bins Bi-Monthly (6 Visits) - $175.50
10% Savings over paying every other month

The price for membership is $175.50 per Year.

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E-mail Address

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Full Name LEAVE THIS BLANK

What day is your trash pick up?

Approximate time of pick up?

Gate Code (If Applicable)

Name of HOA (If Any)

Community or Subdivision Name

How did you hear about Spiffy Bin?

First Name

Last Name

Address 1

Address 2

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Phone

Same as Billing Address.

First Name *

Last Name *

Address 1 *

Address 2 *

City

State *

Postal Code *

Country *

Card Number

Expiration Date /

Security Code (CVC) (what's this?)

Discount Code

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