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?*

YesNo

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.

Name as it appears on your GRU account*

GRU Account Number*

Service Address*

Service Day*

TuesdayWednesdayThursday

What size trash cart do you currently have?*

20-gallon (pink carts not available in this size)35-gallon64-gallon96-gallon

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.