A. Customer Information

CLAY COUNTY NEW RESIDENTIAL SUBSCRIPTION REQUEST FORM

If you wish to start residential service at your home in our service area of Clay County, please provide the information requested below and submit the form by clicking on the submit block at the bottom of the form.

The charge for residential service is billed quarterly in advance. New customers will be billed a prorated charge for the remainder of the first quarter of service.

Date:
Account name:
 
Billing Address
City:
State:
Zip Code:
Contact Person:
Daytime Phone Number
Evening Phone Number
E-Mail Address
B. Service information (if different from above)
Service Address
City
State
Zip Code
 
Directions to your residence.

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Seaboard Waste Systems St. Johns County
Residential Waste
Commercial and Industrial Waste
Commercial Recycling and Document Destruction
Nine Mile Road Landfill