Pink Cart Request Form

Have you already made your annual donation of at least $50 to the American Cancer Society under the team name of "Roll Breast Cancer to the Curb" and selected City of Gainesville?

If yes, what was your donation receipt number?

If no, please make your donation first, then return to complete this form.

Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Name as it appears on your GRU account

GRU Account Number

Service Address

Service Day

What size trash cart do you currently have?

Please Note: Pink carts are not available in the 20-gallon sized cart as the manufacturer of the pink carts doesn’t make this size cart. For more information on this program, please call 352-334-2330.