Sign-Up Form

Name *
Primary Phone *
Primary Phone
Secondary Phone
Secondary Phone
E-Billing *
Help us reduce our paper use with Quarterly E-Billing! For more billing options please call 434-977-3339
Direct Draft Option *
If yes, we will contact you about that information.
Trash Service Selection *
Residential Recycling Service Selection *
New Recycling Service! We are trying to reduce our use of paper, so E-Billing is required when you sign up for Recycling.
Start Date *
Start Date
Select When You Would Like Your Service to Start
Sign-Up Authorization *
By Checking the box "I Agree" you are authorizing that you want to sign up and start service.
Type the name of the person who referred you to Time Disposal.
Enter a promo code from one of our ads. By using a promo code you are agreeing to a 1 year agreement.

One Month Free Coupon!

Click the button above to open coupon. This must be printed, filled out, and mailed in to receive bill credit.

Please mail this to: 
Time Disposal 
261 Industrial Dr
Ruckersville, VA 22968


Dear Time Disposal Customers,

     If you were referred from an existing customer please type their name in referral box, so that they can recieve their $10 bill credit.

Thank you for doing business with Time Disposal