Residential Keycard Registration Form

Prefer a paper copy?

Residential Keycard Registration Form mailto: Public Works Administrator
1550 West 3rd Street
Williamsport, PA 17701

Registration fee

$10 - $5
There is a $10.00 initial registration fee or a $5.00 renewal fee associated with the Residential Keycard Registration. You will be contacted by a member of the Public Works to determine a method of payment.


    Contact Information
     
     
    Additional Household Member Information
     
     
    Vehicle/Trailer Information

    Max 2 vehicles, 1 trailer, must be registered to a listed individual:

     

    Vehicle 1

     

    Vehicle 2

     

    Trailer

    Compliance Information

    I certify that I am the owner/tenant/responsible party of the above-listed property within the City of Williamsport, and I have read the attached rules and regulations and hereby agree to follow all rules and regulations pertaining to the City of Williamsport Brush/Mulch Recycling Collection Area and key card registration. I understand that violation of any of these rules and regulations will result in forfeiture of privileges to use the Brush/Mulch Recycling Collection Area and termination of key card access. I agree to make known to the household member (additional responsible party) listed, the terms and conditions for use of the Brush/Mulch Recycling Collection Area and key card access and agree to take responsibility for their actions while using my key card. Additionally, I acknowledge the above information is true and correct.

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