A.C. Sanitation Service, LLC.

Proudly serving Pinal County since 1963
We care how you live!
Secure Autopay Request Form
  Visa / Mastercard
First Name: Credit Card Statement Address
  Last Name:
Company Name:
  Billing Address:
  Billing City
  Billing State
  Billing ZIP
  Billing Phone
  AZ Sanitation Account No: 5 Digit AZ City Sanitation Account #
  Email Address:  
Card Type:
Card Number:  
Expiration Month:  
Expiration Year:  
Payment Amount Your card will be charge the discounted rated for the service you requested?  Please call the office for this amount.  
The default billing date is the 3rd of the billing month.  If this is not convenient for you, please let us know the date you prefer

By submitting this form, I certify that I am the card holder and that I authorize AC Sanitation to bill my card every billing cycle until I cancel Autopay or close my account. We do not call customers when they sign up for auto-pay unless there is a problem with the credit card.