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Request Form Wheelie Bins

Property Address

Lot

Street

Phone

mobile

Property Owner
Tennant
Contact Details

Casual Wheelie bin Usage Fee

Delivery/Pick up $25 per bin

Replacement of Wheelie Bin Fee

Beyond normal wear and tear $110.00 per bin

tick

Reason

Empty Fee $5.50 per bin

Explanation

Damaged
Missing
New Service
Extra Service

yes

Office use only

no
Repaired

Serial No.

Replaced

Serial No.

Rates Updated

Officer

Receipt

No.