2. TERMINATION DATE:*
   TERMINATION DATE:
3. TERMINATION TYPE*
   -- Select One --OWNERRENTER
5. Name on Account*
6. Account # (if known)
8. West Point Service Address*
10. Contact Phone Number*
11. Email Address*
13. Forwarding Address*

    Please enter full mailing address to send final bill/credit

15. City*
16. State*
17. Zip Code*
19. For Owners: New Owner's Name (if known)
20. For Renters: Landlord's Name

22. HOW MANY GARBAGE/RECYCLING CANS ARE AT THE PROPERTY?

24. GARBAGE:*
25. RECYCLING:*
26. GREEN WASTE:*
28. Additional Comments

30. Once your account has been finalized, West Point City will send your final bill to the forwarding address you provide. In the event of a credit, a check will be mailed to you.

Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field