Work Order Request Form
Contact Information:
Name
Address
Address
City
State
Zip
Phone
Billing Information:
Name
Address
Address
City
State
Zip
Phone
Account No.
Type of Request: (Check all that apply)
Yard Trash
Appliances
Construction Debris
Missing Cart
Damaged Cart
Broken Waterline
Street Repair
Sidewalk Repair
Rat Control
Other
Additional Information:
Note:
Yard trash, appliances, construction debris, and any other trash pickup is charged according to the town's fee schedule. To view the fee schedule before submission,
click here
.
Created by Raquel Ivins
Copyright © 2003 [Town of Wrightsville Beach]. All rights reserved.
Revised: 06/02/05