Request for Additional Waste Bin - Multi-Unit Dwellings - 6 Storey & Over (Serviced bins)

Applicant Details: Managing Agent / Body Corporate Information (for billing purposes)

Company Name *

ABN *

Mailing Address *

Phone *

Contact Name *

Contact Email *(Invoices will be sent to this address)

Property Information (for delivery of bins)

Property Address *

Strata Plan No *

Contact at Property *

Additional Service Requirements - Please match your bin size to those already at your property

Service Type *

Additional 240L General Waste Bin - 3 collections per weekAdditional 660L General Waste Bin - 3 collections per weekAdditional 1100L General Waste Bin -3 collections per weekAdditional 240L Co-mingled Recycle Bin - 2 collection per weekAdditional 660L Co-mingled Recycle Bin - 2 collection per weekAdditional 1100L Co-mingled Recycle Bin - 2 collection per weekAdditional 660L Bulk Cardboard Bin - 1 collection per weekAdditional 1100L Bulk Cardboard Bin - 1 collection per weekAdditional 240L Green Organics Bin - 1 collection per fortnight

Additional 240L General Waste Bin - 3 collections per week = $927.00 (per bin supplied/per annum)

Quantity Required

Total Charge

Additional 660L General Waste Bin - 3 collections per week = $3,450.00 (per bin supplied/per annum)

Quantity Required

Total Charge

Additional 1100L General Waste Bin - 3 collections per week = $4,305.00 (per bin supplied/per annum)

Quantity Required

Total Charge

Additional 240L Co-mingled Recycle Bin - 2 collection per week = $387.00 (per bin supplied/per annum)

Quantity Required

Total Charge

Additional 660L Co-mingled Recycle Bin - 2 collection per week = $2,870.00 (per bin supplied/per annum)

Quantity Required

Total Charge

Additional 1100L Co-mingled Recycle Bin - 2 collection per week = $3,450.00 (per bin supplied/per annum)

Quantity Required

Total Charge

Additional 660L Bulk Cardboard Bin - 1 collection per week = $1,440.00 (per bin supplied/per annum)

Quantity Required

Total Charge

Additional 1100L Bulk Cardboard Bin - 1 collection per week = $1,725.00 (per bin supplied/per annum)

Quantity Required

Total Charge

Additional 240L Green Organics Bin - 1 collection per fortnight = $76.00 (per bin supplied/per annum)

Quantity Required

Total Charge

Declaration

I am the owner/managing agent of the above listed property and I understand that:
- There is an additional charge for each additional service that I have requested.
- There is a minimum charge application for each additional waste service.
- Payment must be made prior to the delivery of bins and/or commencement of the new service. An invoice will be provided for the pro-rata amount for the remainder of the financial year in which the application is made. Payment can be made online at www.hornsby.nsw.gov.au or call 13 70 30.
- The ongoing charge/s will be invoiced annually on the 1st July each year until I request in writing a cancellation of the service/s. *

Name *

Date *

Signature *

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Save and Complete Later

Service Type	Minimum Charge
Additional 240L General Waste Bin - 3 collections per week	$140.00
Additional 660L General Waste Bin - 3 collections per week	$780.00
Additional 1100L General Waste Bin - 3 collections per week	$975.00
Additional 240L Co-mingled Recycle Bin - 2 collection per week	$45.00
Additional 660L Co-mingled Recycle Bin - 2 collection per week	$325.00
Additional 1100L Co-mingled Recycle Bin - 2 collection per week	$390.00
Additional 660L Bulk Cardboard Bin - 1 collection per week	$325.00
Additional 1100L Bulk Cardboard Bin - 1 collection per week	$390.00
Additional 240L Green Organics Bin - 1 collection per fortnight	$15.00