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2. First Name*
3. Last Name*
5. Address*
6. List Unit(s) at this address that should NOT receive carts.*
8. Opt Out Description/Meaning
   Opting out of the PAYT Cart program is intended only for residents who live in 6 family homes ore fewer who either already have private trash/recycling collection or have already purchased carts and do not have room at the property to store new carts. If you are uncertain if you should opt out, we STRONGLY recommend that you do NOT opt out and ACCEPT the carts.
10. I am a home owner*

    1. Yes
11. Opt Out Ackknowledgement*

    1. Yes

    I understand that by opting out, the City of Malden will not deliver a set of free trash and recycling carts to the Address/Units indicated. If this is done in error, the homeowner will later be required to purchase carts to participate in the program. This does not prevent me from having to use Malden's PAYT program, only from using the carts.
13. Your Phone*
14. Your Email*
16. Reason for opting out.*
Leave This Blank:


18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

* indicates a required field