E-Gov Services City of Roxboro

Recycling

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Purpose. Use this form to request being added to our recycling pickup or for a special pickup.

* Information is required.

Contact Information

* First Name:
* Last Name:
Business Name:
Email:
* Daytime Phone:	() –
Fax:	() –
* Address:
* City:
State:
ZIP:

* Type of material.

* Location of material to be picked up. Write "Same" if same as above.

* Type of service

Regular

One-time

* Amount of material

Check here to have email confirmation of this request sent.

* Information is required.

Notes:

If you send us a message, you'll receive a Tracking Number allowing you to follow-up with your request, at your convenience.

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Internal Use Only, Leave Blank:
Please leave this field blank and remove any values that have been populated for it.