Trash and Sewer New Services Form Your Name Your Email Service Street Address Account Holder Name Account Holder Phone Number Email Address (for billing purposes, if selected) Previous Address Billing Address Same as service addressDifferent address (below) Street City State Zip Do you have now, or have had in the past, an account with the City of Sierra Vista? YesNo Send my bill by: Mail onlyEmail onlyMail and email I would like to be billed: Every other monthAnnually (save 10%) Are you: Property OwnerTennant If you are a Tenant, please complete the section below. Property manager name or company name Property manager name or company phone number Please select your service (check all that apply). Rates are for a two-month billing cycle. 65-gallon trash bin, $34.4695-gallon trash bin, $39.3495-gallon recycling bin (optional), $0Sewer service, $32.38 Effective date of service: Please note that there is a one-time $20.00 fee to establish new service, which will be included on your first bill. By checking this box, I acknowledge that I will be billed all applicable fees as noted above. I further certify that I am the account holder of the above listed property. I understand that I am financially responsible for the services provided to me by the City of Sierra Vista. I agree to pay my account charges in a timely manner. If it becomes necessary, I agree to pay a 10% penalty fee for delinquent payments and reasonable fees associated with the collection of any past due account. This electronic form is as valid as the original.