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APPLE VALLEY WASTE
request for service form

* Customer Name:

 

* Service Address:

* City:

* State:

* Zip:

 

* Billing Address:

* City:

* State:

* Zip:

 

* Phone:

Alternate Phone:

 

* Email:

 

I would like AVW to contact me with service updates via my email address.

Please do not contact me with service updates via my email address.

 

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www.applevalleywaste.cominfo@applevalleywaste.com • PO Box 309 • Kearneysville, WV 25430 • 304-724-1834