Waiver Form

Commercial/Residential Clean-Up
Waiver Form

Terms And Conditions

1.Customer accepts full responsibility for contents of container and any extra charges
that may be levied as a result of disposing of items on our list of items not to put in 
the container or items on the extra charges may apply list.

2.Customer and Contractor's Disposal Inc. have agreed upon the location of the container
placement on your property. Customer accepts full responsibility for any damage to
their driveway, parking lot, lawn etc. which results from placement of the container
on the agreed upon area.

3.Do not load over the top of the container. Extra charges may be applied for off loading.
We, by law, cannot haul potential "leaky loads".

Date_____________________________Box Size____________________

Customer Name_______________________Customer Signature____________________

Address____________________________City___________________________

Phone Number_______________________Print Name______________________


This form can be printed, filled out and faxed to Contractor's Disposal Inc. @ 309-862-3475

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