WATERFORD COUNTY COUNCIL APPLICATION FOR BINS - DOMESTIC WASTE COLLECTION SERVICE NB: PLEASE USE BLOCK CAPITALS WHEN FILLING IN FORM NAME: ________________________________________________________________ ADDRESS: _________________________________________________________________ DIRECTIONS TO LOCATION: ________________________________________________ ______________________________________________________________________________ (Please give exact directions if house situated in rural area) DAYTIME CONTACT NUMBER: __________________________ Mobile: _________________________ I wish to avail of the Domestic Waste Collection service provided by Waterford County Council and for this purpose I; All customers must comply with WCC Waste Bye-Laws and use both the organic & refuse bins. 1. Will use the bins provided only for appropriate collection of waste by Waterford County Council. 2. Will place appropriate Tag on each Bin per waste collection and present each bin for pick up on the collection route before 7.30am on the day of collection. Please Note: Once Flat Charge payment is received bins will be delivered FREE within twelve working days. PLEASE TICK WHICH BIN IS REQUIRED GREY/REFUSE BIN BROWN BIN I accept the Bins remain the property of Waterford County Council. Please contact 058-20864 if you are no longer availing of this service and we will arrange to have the empty bins collected. Signed: _____________________________________________________ Date: _____________________________________________________ Please return completed Form to Environment Department, Waterford County Council, Civic Offices, Dungarvan, Co. Waterford – allowing approximately 12 (twelve) working days for delivery of Bin. If you have any queries please contact the above at 058-20864. FOR OFFICE USE ONLY Flat Fee Receipt No: ___________________ Customer No: ___________________________ Grey Bin Number: _____________________ Brown Bin Number:______________________ Date of Delivery:_______________________ D:\116105519.doc 2/12/2016