Request Service | Bartenfelder

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Office Hours: 8AM - 4:00 PM Mon-Fri

Ph: 410-457-5550

With everything we do, customer satisfaction always comes first. Hire us and rest assured you’ll be pleased with our services, just like our current clients.

Start dates are depending on route availability and may be up to 30 days out.

Bartenfelder Sanitation Service Enrollment Form

To enroll into service with us please fill out the following form. You will receive an automated email with all of our terms and new customer check lists.
Within 1-2 business days a customer representitive will call you to confirm your start date and your service days.

First name

Last name

Email - ALL INVOICES WILL BE EMAILED

Phone

Street Address

City

Postal / Zip code

When is your current sevice paid up to or when do you need service to start?

Choose which package meets your needs

35 gallon 1x per week $111.00 per quarter

65 gallon 1x per week $123.00 per quarter

95 gallon 1x per week $138.00 per quarter

Additional trash container $30.00 per quarter

Senior Rates 65+

35 gallon 1x per week $81.00 per quarter

65 gallon 1x per week $93.00 per quarter

Containers

I would like to use BSSI supplied toters

I would like to use my owner containers, please send me stickers

Do any of the following apply to you?

Emergency Responder

Teacher

Veteran / Military

Containers

Deliver them to me for $35.00

I will pick them up from your office

Please send me stickers to place on my own containers

Please upload proof of discount elibility AND OR verification of age for senior rates

Upload File

Upload supported file (Max 15MB)

Invoicing

Email me my invoice

Mail me my invoice $3.00

Enroll my account into Autopay

PROMO CODE OR REFERING CUSTOMERS NAME

Billing Address

City

Postal / Zip code

Card Number- Visa /Mastercard /Disover

Exp Date

CVV (last 3 digits on back)

Auto Pay

Enroll into autopay

Your Signature

I agree to the terms of services *By inserting your legal name, you are signing this agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this agreement. By inserting your legal name, you consent to be legally bound by this agreement’s terms and conditions.

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Mailing Address

P.O. Box 706

Forest Hill MD 21050

410-457-5550

Info@bartenfelder.com

Office Address

3341 Forge Hill Road

Street, MD 21154

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