First Name       Last Name    

Address   

City     State     Zip  

Phone Number      Email Address   

Type of Waste

For agricultural waste please specify what you are disposing of and quantity.

 

You are now leaving the Ozaukee County Wisconsin web site. If you continue, your payment will be completed by Point & Pay, LLC as authorized by Ozaukee County and a processing fee will apply. If you cancel, you will be returned to the registration form. Registration is not valid until payment is complete.