St. Anne Cart Form

Current garbage service customers in St. Anne can add an additional wheeled garbage cart to their existing service using this form. If your residence has no carts, or you’ve recently moved into the area, please call 815.932.1115.

CART SELECTION*
- GARBAGE CART - Rent an additional 95 gallon garbage cart annually for $36.00.
Your new cart(s) will be delivered to your home within the next 2 weeks.
BILLING OPTIONS*
Your garbage service bill will continue to arrive through the Village of Saint Anne. But, you will be billed separately by Homewood Disposal for your additional garbage cart. How would you like to be billed for your additional cart(s)?
- Send invoices to my home address through the US Postal Service
- Send invoices to my email address
Name*
First Last
Address*
Street Address City State ZIP Code
Email*
Phone*
Date of Birth
SECURITY
TERMS*
- I have read and agree to the terms below.
Lessee assumes the responsibility to occasionally clean the cart when needed. Cart is only to be used at the service address of lessee. Unauthorized use of the cart will result in removal of cart by Homewood Disposal. Lessee will hold Homewood Disposal harmless of any incidents as a result of cart usage. Carts may become heavy during use and are to be used and handled by adults only. Lessee is responsible for theft, loss or damage to cart beyond normal uses. Lessee will notify Homewood Disposal to remove cart if it is no longer needed. All payment due for the cart must be paid in full within 30 days of receiving invoice. Lessee agrees to prompt and full payment for use of cart according to the terms, conditions, and schedules which Homewood Disposal has established. Lessee is responsible for replacement cost of equipment and collection costs of amounts due if lessee does not maintain the obligations above. *This contract will be renewed annually unless notification to terminate is given. Lessee agreement is for a one year time period.