Commercial Dumpster New Customer Service Agreement | Western Kane County Special Services District

Name*

First

Last
Billing Address*

Street Address

Address Line 2

City

State

ZIP Code
Dumpster Address*

Street Address

Address Line 2

City

State

ZIP Code
Phone*
Email*
I wish to receive my bill via email?*
- Yes
- No
What type of address is this?*
- Residential
- Commercial
Please Select Your Monthly Plan*

Please note that there is a $30 charge per unscheduled lift requested. All service plan prices are Per Month.
I hear by agree to pay $20 per month per dumpster for the rental of my dumpster.
I understand I will be invoiced monthly for these services and that my payment is due within
30 days of the invoice date. If paid after that date, there will be a 18% late fee assessed at a
minimum of $5.00 per month. If payment is received more than 60 days after the invoice date
WKCSSD will no longer empty up my dumpster(s). If payment has not been received before 90
days after invoice date WKCSSD will remove all dumpster(s) at my expense and I will incur a
$100 replacement fee per dumpster for them to be returned.
Digital Signature*

Please type your name agreeing to the above.