Landfill Annual Pass Application

2. For Office Use Only:

4. 

5. R-Board Annual Landfill Pass
   <ul style="list-style-type:square"> <li>The annual pass is a small sticker to be displayed on the back of your interior Rearview Mirror </li> <li>Annual passes are limited to two per household. </li> <li>Passes are valid at both the Regional Landfill and the Belman Road Recycling Center.</li> <li><b>American Express not accepted</b></li> </ul>

   • The annual pass is a small sticker to be displayed on the back of your interior Rearview Mirror
   • Annual passes are limited to two per household.
   • Passes are valid at both the Regional Landfill and the Belman Road Recycling Center.
   • American Express not accepted

7. The Annual pass is for Residential Household waste only. For information on Commercial accounts call (540) 658-5279.

9. First Name*

10. Last Name*

12. Address:*

14. Address:

16. City*

17. State*

18. Zip*

20. Email (optional):

21. Phone*

25. Item:

    2017 Annual Pass

26. Price

27. Quantity

28. Shipping Cost

30. Taxable

34. Delivery Options:
    Allow 24 hours for pick-up <br><br> <b>Pick-up:</b> R-Board Office, 1739 Jefferson Davis Highway, Suite 103, Stafford, VA 22554 between the hours of 8am-4:30pm. <br><Br> <b>Please bring a copy of your receipt for pick-up. </b> <br><Br> <b>USPS Mail:</b> Standard shipping is usually between 7 and 10 business days. <br><Br> Online purchases of passes and coupons books <b>CANNOT</b> be picked up at the Eskimo Hill Landfill. <br><Br> <b>For immediate passes: </b>Go to the R-board, 1739 Jefferson Davis Highway, Suite 103 Between 8:30 am and 4pm Mon-Friday or The Eskimo Hill Landfill Residential Side, 489 Eskimo Hill Road 9am – 3pm 7 days a week.<br><Br> Questions? Please call (540) 658-5279.

    Allow 24 hours for pick-up
    
    Pick-up: R-Board Office, 1739 Jefferson Davis Highway, Suite 103, Stafford, VA 22554 between the hours of 8am-4:30pm.
    
    Please bring a copy of your receipt for pick-up.
    
    USPS Mail: Standard shipping is usually between 7 and 10 business days.
    
    Online purchases of passes and coupons books CANNOT be picked up at the Eskimo Hill Landfill.
    
    For immediate passes: Go to the R-board, 1739 Jefferson Davis Highway, Suite 103 Between 8:30 am and 4pm Mon-Friday or The Eskimo Hill Landfill Residential Side, 489 Eskimo Hill Road 9am – 3pm 7 days a week.
    
    Questions? Please call (540) 658-5279.

35. Select delivery type:*

    1. Pick-up
    2. USPS Mail

39. Vehicle Information 1:

41. Make:*

42. Model:*

43. License Plate:*

45. Vehicle Information 2: (optional)

47. Make:

48. Model:

49. License Plate:

51. Disclaimer:
    By submission of this online application for an annual resident pass, I Hereby Certify that I am a resident of Stafford County or the City of Fredericksburg and the vehicle(s) listed above are my personal vehicles and will be used for the disposal of my <strong>residential</strong> household waste. I understand that misuse of my annual pass may result in the termination of my use of the landfill convenience centers. <br><br> For information on Commercial Accounts or replacement Annual Passes contact (540) 658-5279.

    By submission of this online application for an annual resident pass, I Hereby Certify that I am a resident of Stafford County or the City of Fredericksburg and the vehicle(s) listed above are my personal vehicles and will be used for the disposal of my residential household waste. I understand that misuse of my annual pass may result in the termination of my use of the landfill convenience centers.
    
    For information on Commercial Accounts or replacement Annual Passes contact (540) 658-5279.

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52. Calculate Totals Proceed to Checkout

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