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Credit Application
Trading Name (Account Name)
(Required)
Address (where bin is to be placed)
(Required)
Street Address
Locality
Billing Address (Postal)
Street Address
Locality
State
Post Code
ABN
Email
(Required)
Phone
(Required)
Mobile
(Required)
Director / Proprietor / Trustee 1
Full Name
Position
Phone Number
Director / Proprietor / Trustee 2
Full Name
Position
Phone Number
Name of person responsible for payment of account
Full Name
Email Address
Phone
How would you like to pay?
Direct Debit
Bank Deposit
Purchase Order Required
Yes
No
Service Details
Service Required
Front Lift Bin 1.5m
3
Front Lift Bin 3m
3
Front Lift Bin 4.5m
3
Skip Bin 3m
3
Skip Bin 5m
3
Skip Bin 8m
3
Skip Bin 9m
3
Wheelie Bin 240lt
Wheelie Bin 660lt
Wheelie Bin 1100lt
Frequency of Service Required:
Weekly
Fortnightly
4 weekly
On call (attracts an annual hire fee)
Other
Waste Type
eg general waste/cardboard/ recycling:
Will your bin/skip be accessible 365 days per year, 24 hours per day?
Yes
No
Opening hours
Will our driver require a gate code or key?
Yes
No
Trade References
Company 1
(Required)
Name
(Required)
First
Last
Phone
(Required)
Company 2
(Required)
Name
(Required)
First
Last
Phone
(Required)
Terms & Conditions
Terms of Credit
(Required)
I agree to the terms of credit.
1 From the time of delivery, of the bin(s) to the customer, until the bin(s) is collected by
Hastie Waste, the customer will:
(a) Maintain the bin(s) in a clean and sanitary condition, at the customer’s expense and comply with the provisions of any laws coverning the storage, collection and disposal of waste and recyclables.
(b) Not use the bin(s) for any purpose other than the depositing and storage of waste for collection and disposal by Hastie Waste.
(c) Not intentionally or unintentionally cause damage to any bin.
2 All bins shall remain the property of Hastie Waste. If bins need to be replaced, repaired or serviced as a result of the customer’s (or its’ contractors) breach of clause 1, the customer
will pay to Hastie Waste the cost of replacing the bin or the cost of servicing, repairing or restoring the bin to its original condition, whichever is the lesser.
3 Overfull bins are a safety risk. Waste must be confined within the bin. Overfull bins and/or extra lifts incur extra charges.
4 If bins are inaccessible, overfull or unsafe at the time of service, any such bin shall be considered serviced and charged at the rate applicable for a successful service.
5 Payment in full will be made to Hastie Waste Pty Ltd no later than 20 days from receipt of each monthly invoice/statement
6 Invoices will be emailed to the address provided.
7 Debt collections costs will be added in the event you do not pay your account within our terms. All collection costs, legal fees and associated costs incurred as a result of the debt being passed to a third party will be payable by you.
8 Minimum spend of $500 required prior to cancellation of bin service **this does not apply if you own your own 240ltr bins**
I, being authorised to order goods do hereby agree to the terms of credit, above and to the terms of hire as agreed with Hastie Waste’s representative.
please sign here
Name
First
Last
Position
Pickers Recyling Centre 22 Pedretti Rd, Picton East WA 6239
Donnybrook Waste Management Facility 3293 Goodwood Rd, Donnybrook WA 6239
Balingup Waste Transfer Station 27130 S Western Hwy, Balingup WA 6253
Margaret River Depot 18 Kinsella Rd, Margaret River WA 6285
Hastie Waste
5.0
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53
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