Clone of Leonardi Waste Application Form 1 AD

Registration Form

Please fill in the form below
Company Name *

Site Address
Address

Street Number

Street Address

SuburbState

Postcode
Is postal different address

Yes

Business Details
Company/Entity Name:*
ABN:*
Trading as:*

Customer Details
Name*

First NameLast Name
Mobile*

Area CodePhone Number
Phone Number

Area CodePhone Number
Email*
example@example.com
Accounts Email
example@example.com
Accounts Phone Number

Area CodePhone Number

Service Details
Service Location
Service Type *
Oty
Frequency *
Cost $
excludes GST

Service Schedule

	MON	TUES	WED	THUR	FRI	SAT	SUN
QTY

Service Start Date

DayMonthYear
Date
Bin Accesories

LocksLidCastorsOther
+

Add Another Service 2

Service 2
Service Type
Oty
Frequency
Cost $
excludes GST

Service Schedule

	MON	TUES	WED	THUR	FRI	SAT	SUN
QTY

Service Start Date

DayMonthYear
Date
Bin Accesories

LocksLidCastorsOther
+

Add Another Service 3

Service 3
Service Type
Oty
Frequency
Cost $
excludes GST

Service Schedule

	MON	TUES	WED	THUR	FRI	SAT	SUN
QTY

Service Start Date

DayMonthYear
Date
Bin Accesories

LocksLidCastorsOther
+

Add Another Service 4

Service 4
Service Type
Frequency
Oty
Cost $
excludes GST

Service Schedule

	MON	TUES	WED	THUR	FRI	SAT	SUN
QTY

Service Start Date

DayMonthYear
Date
Bin Accesories

LocksLidCastorsOther
+

Add Another Service 5

Service 5
Service Type
Oty
Frequency
Cost $
excludes GST

Service Schedule

	MON	TUES	WED	THUR	FRI	SAT	SUN
QTY

Service Start Date

DayMonthYear
Date
Bin Accesories

LocksLidCastorsOther

Terms & Conditions
Terms and Conditions

1, Ownership. The Customer acknowledges that unless purchased through a separate agreement, equipment remains the property of Leonardi Group Pty Ltd at all times.

2, Warranties. The Customer agrees, and it is a condition, that it must:

a. Not compact waste except where the equipment provided is compaction equipment.

b. Instruct all personnel in the safe and proper use of the equipment.

c. Not remove the equipment from the site to which it was delivered without Leonardi Group Pty Ltd permission.

d. Reimburse Leonardi Group Pty Ltd for the cost of repairs for damage to the equipment while in direct control or possession of the Customer except for fair wear and tear.

e. Ensure that Leonardi Group Pty Ltd has unobstructed access to the Customer's Premises such that LG is not prevented or hindered in any way from providing the Service.
1.     The Customer acknowledges that unless purchased, equipment remains the property of Leonardi Group Pty Ltd at all times.

2. The Customer agrees, and it is a condition, that it must:

a,      Not compact waste except where the equipment provided is compaction equipment.

b,      Instruct all personnel in the safe and proper use of the equipment.

c,      Not remove the equipment from the site to which it was delivered without Leonardi Group Pty Ltd permission.

d,      Reimburse Leonardi Group Pty Ltd for the cost of repairs for damage to the equipment while in direct control or possession of the Customer except for fair wear and tear.

e,      Ensure that Leonardi Group Pty has unobstructed access to the Customer's Premises such that Leonardi Group Pty Ltd is not prevented or hindered in any way from providing the Service.
l acknowledge that l am authorised to sign and that l have read and understand the terms and conditions.
Name

First NameLast Name
Date
Signature

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Should be Empty:

Registration Form