Application
Form
The name you wish to appear on the certificate
If it is necessary,we will contact you by phone or email, please provide you email address
and/or phone number along with the best time to call.
E-mail:
Phone:
Best time to call:
Certificate will be mailed anonymously to the following address:
Name:
Company:
Street:
City:
State:
Zip:
Standard USPS shipping charges are included in our base $19.95 unframed certificate.
UPS Next Day Air is available for an additional $30.00.
Unframed Certificate
$19.95
Framed Certificate
$69.95
To include a photo of your special trash can
add $5.00
UPS Next Day Air is available for an additional
$30.00
Normal Shipping
No charge
Category :
Trash cans
Dumpsters
No charge
Total :
US FUNDS ONLY
Or I enclose my check or money order made payable to and mail to;
Trash Can Registry
42770 Mound Road
Sterling Heights, MI 48314
