2. Village of Thiensville Yard Waste Facility Card Application
4. Card Type*

   1. New $20
   2. Annual Renewal $15
   3. Lost Card Replacement $10
5. Date*
   Date
7. First Name*
8. Last Name*
10. Phone*
11. Email
13. Address1*
15. City*
16. State
17. Zip
19. Upload Proof of Residence*
20. Document Type

    1. Driver's License
    2. Utility bill
    3. Mortgage Statement
    4. Tax Bill
22. Number on Card

24. After form submission you will be directed to the credit card processing page. Once the form and payment are received a new gate card will be mailed to you or your existing card will be reactivated.

Leave This Blank:


26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit Submit and Print

* indicates a required field