Exclusive Savings for Seniors: Join Specialized Discount Program

Prior to completing, signing, and providing required documents, please read the Senior Discount Requirements for eligibility; applicants that do not fulfill the requirements may be ineligible. One discount per household/ address.

Name

Phone

Date of Birth

Service Address

Address Line 1

City

State

ZIP

Along with this application, please provide a copy of the following. If the required documents are not received or do not fulfill requirements, your application may not be processed. There are no retroactive discounts.

A copy of the applicant’s valid driver license or state issued identification card with your current address.
A copy of your current trash providers (if not already with Tri-State Disposal) bill that indicated the applicant’s name as the account holder and address.

Required Documents Upload

1.) A copy of the applicant’s valid driver license or state issued identification card with your current address. 2.) A copy of your current trash providers (if not already with Tri-State Disposal) bill that indicated the applicant’s name as the account holder and address.

Senior Discount Application

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