Yard Cart Sticker Order Form
(Valid from July 1, 2019 – June 30, 2020)
(Fields in red or with * are mandatory)
Date: 
Number of Stickers: x $60.00 (MAX PURCHASE=3)
BILLING ADDRESS The mailing address where the sticker is to be mailed.
First Name: *
Middle Initial: 
Last Name: *
Street Number: *
Street Prefix:  (e.g. N, W, S, E)
Street Name: *
Street Suffix:  (e.g. ST, AVE, DR)
Apt/Unit Number: 
City: *  
State: *  
Zip Code: *
Phone Number: *  
E-mail: 

SERVICE LOCATION ADDRESS

         The physical location of the yard cart to be picked up in the City limits.
Street Number: * (No PO Box's allowed)
Street Prefix:  (e.g. N, W, S, E)
Street Name: *
Street Suffix:  (e.g. ST, AVE, DR)
Apt/Unit Number: 
City: *  
State: 
Zip Code: *

 

  • The cost of the sticker is $60.00 per year, or any part thereof, except that a reduced fee of $50.00 which shall be allowed once to the same occupant(s) at any given address when the collection service is purchased between January 1 and June 30. The prorated cost of $50.00 can ONLY be purchased through the Revenue Department, 747-6953.
  • Maximum of three stickers per address
  • Applicants should receive stickers via mail within two to 4 weeks of web payment
  • Online applications will not substitute for expired stickers until current year stickers are placed in appropriate position on carts
  • Payments made outside of normal business hours of 8:00 AM and 5:00 PM Monday thru Friday will be in queue for processing until the next available business day
  • By accessing this site, you agree to be bound by the Terms and Conditions for Online Account Manager. Transactions online are not absolutely secure. You assume all risk associated with the use of this site.
  • Please see Privacy Policy for more information.

Privacy Policy | Online Services | City of Winston-Salem Home