I want to upsize-alter my bin services form 2016

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Upsize/Downsize and/or Alter my Bin Services Form
for a Residential Property
(Must be completed by Property Owner or Authorised Agent)
This form to be returned to City of Greater Bendigo, PO Box 733, Bendigo 3552
Phone: 03 5434 6000 Fax: 03 5434 6200 Email: requests@bendigo.vic.gov.au
Property Owner Name:
Address to be supplied to:
Agent Details (if applicable):
(Please provide agency name)
Telephone and or Email:
Property Owner
Agent for property
(Please tick one box)
I request to change my existing garbage bin from – (Please tick appropriate box)
140lt Garbage bin(s)
240lt Garbage bin(s)
to
to
240lt Garbage bin(s)
140lt Garbage bin(s)
I request to change my existing recycle bin from – (Please tick appropriate box)
140lt Recycle bin(s)
to
240lt Recycle bin(s)
to
140/240lt Recycle bin(s) to
240lt Recycle bin(s)
140lt Recycle bin(s)
360lt Recycle bin(s)
(I understand that there will be no change in fees between a 140lt and 240lt recycle bin but there will be
a one off charge to upsize to a 360lt recycle bin)
I request to add an additional bin/s to my existing waste services:
Please supply an additional: (Please tick appropriate box/es)
140lt Garbage bin
240lt Garbage bin
140lt Recycle bin
240lt Recycle bin
360lt Recycle bin
I accept the change in fees for bin charges on my rates for this property as a result of changing
an existing service and/or requesting additional services.
Signed:
Date:
Office Use Only
Request number/s:
CS2016
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