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        Service Request                     

     Information obtained by Northern Illinois Disposal through this correspondence is solely for the purpose of initiating contact with current and prospective customers. This correspondence does not constitute a formal request for service.  A customer service representative will contact you to verify and finalize all requests. Please fill out the information below so that we may better serve you.
                              

Residential- Change of Service or Billing

 * Indicates a required field

*Account Number
*Name
*Address
*City
*State and Zip
*Phone Number You Can Currently Be Reached At
E-mail Address
Start Date
FAX
 
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