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3. First Name:*
4. Last Name:*
6. Address*
8. City:*
9. State:*
10. Zip:*
12. Phone Number:*
13. Email
    (optional)
15. # of bins
    -- Select One --1234

    Please select the number of recycling bins requested.
16. Request Type:*
    -- Select One --New CustomerAdditional BinReplacement Bin
18. Recycling bins are free of charge for City of Casselberry garbage customers. Please allow 3 to 5 business days for curbside delivery. Please contact Public Works Administration at 407-262-7725, ext. 1225, for any issues or concerns.
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