Request for Additional Waste Bin

Applicant Details

Title *

MrMrsMsMissOther

Other

Given Name *

Family Name *

Company/Organisation (if applicable)

Contact Person (if applicable)

Postal Address *

Property address for delivery of bins (if different)

Email Address *

Phone or Mobile Number *

Rates Reference Number *

Requirement

Bin Type *

General Waste Bin (Red Lid)Co-mingled Recycle Bin (Yellow Lid)Green Organics Bin (Green Lid)

Click here to view the current Waste Fees and Charges

General Waste Bin (Red Lid)

Additional 140 litre weekly garbage service (Annual charge or pro-rata charge for part year – minimum charge $15 pa.) = $250.00

(Office Use: F2004/08814)

Quantity *

Total Charge ($) *

Co-mingled Recycle Bin (Yellow Lid)

Additional 240 litre fortnightly recycling service (Annual charge or pro-rata charge for part year – minimum charge $15 pa.) = $78.00

(Office Use: F2004/08823)

Quantity *

Total Charge ($) *

Green Organics Bin (Green Lid)

Additional 240 litre fortnightly garden waste service (Annual charge or pro-rata charge for part year – minimum charge $15 pa.) = $84.00

(Office Use: F2004/00819)

Quantity *

Total Charge ($) *

Declaration

I am the owner/managing agent of the above listed property and I am aware that:
- There is an additional charge for each additional service that I have requested.
- The charge/s will be placed on the owner’s rates notice each year until such time as I request in writing a cancellation of the service/s. *

I understand that following the Waste Management Team’s receipt of this request, delivery of the requested bin/s will be made within five working days, pending the contractor’s bin stock. *

Full Name *

Date *

Signature *

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