Landfill Annual Pass Application

2. Potential Delay in Delivery
   Please note that annual passes are good for the calendar year only and will expire December 31. Please Print Your Receipt as Proof of Purchase Until Annual Pass(es) are Received.

   Please note that annual passes are good for the calendar year only and will expire December 31. Please Print Your Receipt as Proof of Purchase Until Annual Pass(es) are Received.

4. Mailed date:

5. Entered in Database

   1. Yes
   2. No

7. 

8. R-Board Annual Landfill Pass
   <ul style="list-style-type:square"> <li>The annual pass is a small sticker that must remain permanently affixed to the correct vehicle </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>Annual Passes do not cover Residential oversize load fees ($20)</li> <li>Residential Oversize Loads are any material waste transported by a cargo vehicle or trailer more than eight feet in length </li>

   • The annual pass is a small sticker that must remain permanently affixed to the correct vehicle
   • Annual passes are limited to two per household.
   • Passes are valid at both the Regional Landfill and the Belman Road Recycling Center.
   • Annual Passes do not cover Residential oversize load fees ($20)
   • Residential Oversize Loads are any material waste transported by a cargo vehicle or trailer more than eight feet in length

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

12. First Name*

13. Last Name*

15. Physical Address:*

17. Mailing Address (if different):

19. City*

20. State*

21. Zip*

23. Email (optional):

24. Phone*

28. Item:

    Annual Pass

29. Price

30. Quantity

31. Shipping Cost

33. Taxable

37. Delivery Details:
    <b>USPS Mail:</b> Standard shipping is usually between 7 and 10 business days. <br><Br> <b>For immediate passes: </b> The Eskimo Hill Landfill Residential Side, 489 Eskimo Hill Road 8am - 4:30pm M-F and 9am - 3pm Sat & Sun.<br><Br> Questions? Please call (540) 658-5279.

    USPS Mail: Standard shipping is usually between 7 and 10 business days.
    
    For immediate passes: The Eskimo Hill Landfill Residential Side, 489 Eskimo Hill Road 8am - 4:30pm M-F and 9am - 3pm Sat & Sun.
    
    Questions? Please call (540) 658-5279.

41. Vehicle Information 1:

42. Sticker Number 1

44. Make 1:*

45. Model 1:*

46. License Plate 1:*

48. Vehicle Information 2: (included with $120 purchase)

49. Sticker Number 2

51. Make 2:

52. Model 2:

53. License Plate 2:

55. Read and Accept Below:*

    1. I am a Stafford County or a City of Fredericksburg Resident
    2. The above vehicle(s) are my personal vehicle(s) and will be used for the disposal of residential waste only
    3. I will permanently affix the annual pass to the correct vehicle
    4. I understand that Cargo Vehicles are subject to a $20 fee that my annual pass/coupon book will not cover
    5. I understand that I may use a Cargo Vehicle ONLY if the waste being transported is placed in up to 4 trash bins of 100 gallons or less and is completely secured and contained within the bins
    6. I understand that no refunds will be provided
    7. I understand that my annual pass may be revoked if false information is provided

57. Additional Information
    For information on Commercial Accounts or replacement Annual Passes contact (540) 658-5279.

    For information on Commercial Accounts or replacement Annual Passes contact (540) 658-5279.

Leave This Blank:


58. Calculate Totals Proceed to Checkout

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