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? *

Yes No

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 *

Tuesday Wednesday Thursday

What size trash cart do you currently have? *

20-gallon (pink carts not available in this size) 35-gallon 64-gallon 96-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.