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2. Orange Recycling Center/Transfer Station Jones Street, Orange, MA 01364 (978) 544-1118
   Please fill out this form so the office staff can process your permit application. Once you submit this form, you will need to visit the office to make your payment and receive your permit number and sticker. Proof of vehicle registration will be required, please plan accordingly when you come to finalize your permit in person. 

   Permit fees are as follows:

   • Residential Single Household $45 
   • Second Household $10  
   • Commercial $70  
   • Landlord $70 
   • Non-resident $75 
   • Replacement Permit  $10  
   • Single Day (excluding commercial and brush) $10
4. First Name*
5. Last Name*
7. Phone Number*
8. Email Address
10. Address*
12. City*
13. State*
14. Zip Code*
16. Permit Type*

    1. Orange Resident
    2. Orange Commercial
    3. Non-Resident
    4. Orange Landlord
17. Vehicle License Plate Number*
19. DO NOT FILL OUT THIS SECTION
    This portion of the permit is for the office staff to fill out on receipt of payment and issuance of your permit. Do  not fill out this section below.
21. Sticker Type

    1. New Sticker
    2. Replacement Sticker
    3. Additional Household Permit
22. Previous Permit on Vehicle

    1. Yes
    2. No
23. Permit Number
25. Amount Paid
26. Issued By

    Employee Name

27. Date
    Date
Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field