Commercial/Community/Sporting Clubs rubbish request form Privacy Statement The Town is collecting your personal information for the purpose of responding to your request. Some of the information may be provided to the Town's contractors for the purpose of addressing your request. Your information will not be provided to any other person or agency unless you have given us permission, or where legally obligated to do so. If you would like to know more about how the Town handles your personal information, please see the Town's Privacy Statement and Collection Notice. --------------------------------------------------------------------------------------------------------------------------------------------------------------------------- This form is to be completed by the property owner or managing agent. Community/sporting clubs' concessionAll community and sporting organisations are entitled to a full concession on a two or three bin system. Additional bins are charged per annum, which will be pro-rata based on seasonal usage. Applicant details Name*This field is required. * Required Field. Company*This field is required. * Required Field. Contact phone number*This field is required. * Required Field. Email*This field is required. * Required Field. Property address Street Address:* * Required Field City:* * Required Field State:* * Required Field Post Code:* * Required Field Country:* Select Country >> AUSTRALIA -------- AFGHANISTAN ALBANIA ALGERIA AMERICAN SAMOA ANDORRA ANGOLA ANGUILLA ANTIGUA & BARBUDA ARGENTINA ARMENIA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BONAIRE BOSNIA & HERZEGOVINA BOTSWANA BRAZIL BRITISH INDIAN OCEAN TER BRUNEI BULGARIA BURKINA FASO BURUNDI CAMBODIA CAMEROON CANADA CANARY ISLANDS CAPE VERDE CAYMAN ISLANDS CENTRAL AFRICAN REPUBLIC CHAD CHANNEL ISLANDS CHILE CHINA CHRISTMAS ISLAND COCOS ISLAND COLOMBIA COMOROS CONGO COOK ISLANDS COSTA RICA COTE DIVOIRE CROATIA CUBA CURACO CYPRUS CZECH REPUBLIC DENMARK DJIBOUTI DOMINICA DOMINICAN REPUBLIC EAST TIMOR ECUADOR EGYPT EL SALVADOR EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FALKLAND ISLANDS FAROE ISLANDS FIJI FINLAND FRANCE FRENCH GUIANA FRENCH POLYNESIA FRENCH SOUTHERN TER GABON GAMBIA GEORGIA GERMANY GHANA GIBRALTAR GREAT BRITAIN GREECE GREENLAND GRENADA GUADELOUPE GUAM GUATEMALA GUINEA GUYANA HAITI HAWAII HONDURAS HONG KONG HUNGARY ICELAND INDIA INDONESIA IRAN IRAQ IRELAND ISLE OF MAN ISRAEL ITALY JAMAICA JAPAN JORDAN KAZAKHSTAN KENYA KIRIBATI KOREA NORTH KOREA SOUT KUWAIT KYRGYZSTAN LAOS LATVIA LEBANON LESOTHO LIBERIA LIBYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAU MACEDONIA MADAGASCAR MALAYSIA MALAWI MALDIVES MALI MALTA MARSHALL ISLANDS MARTINIQUE MAURITANIA MAURITIUS MAYOTTE MEXICO MIDWAY ISLANDS MOLDOVA MONACO MONGOLIA MONTSERRAT MOROCCO MOZAMBIQUE MYANMAR NAMBIA NAURU NEPAL NETHERLAND ANTILLES NETHERLANDS NEVIS NEW CALEDONIA NEW ZEALAND NICARAGUA NIGER NIGERIA NIUE NORFOLK ISLAND NORWAY OMAN PAKISTAN PALAU ISLAND PALESTINE PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILLIPINES PITCAIRN ISLAND POLAND PORTUGAL PUERTO RICO QATAR REPUBLIC OF MONTENEGRO REPUBLIC OF SERBIA REUNION ROMANIA RUSSIA RWANDA ST BARTHELEMY ST EUSTATIUS ST HELENA ST KITTS-NEVIS ST LUCIA ST MAARTEN ST PIERRE & MIQUELON ST VINCENT & GRENADINES SAIPAN SAMOA SAMOA AMERICAN SAN MARINO SAO TOME & PRINCIPE SAUDI ARABIA SENEGAL SERBIA SEYCHELLES SIERRA LEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SPAIN SRI LANKA SUDAN SURINAME SWAZILAND SWEDEN SWITZERLAND SYRIA TAHITI TAIWAN TAJIKISTAN TANZANIA THAILAND TOGO TOKELAU TONGA TRINIDAD & TOBAGO TUNISIA TURKEY TURKMENISTAN TURKS & CAICOS IS TUVALU UGANDA UKRAINE UNITED ARAB ERIMATES UNITED KINGDOM UNITED STATES OF AMERICA URAGUAY UZBEKISTAN VANUATU VATICAN CITY STATE VENEZUELA VIETNAM VIRGIN ISLANDS (BRIT) VIRGIN ISLANDS (USA) WAKE ISLAND WALLIS & FUTANA IS YEMEN ZAIRE ZAMBIA ZIMBABWE * Required Field Assessment Number*This field is required. * Required Field. Please select the rubbish service or amendment you require Additional bin request (individual bins) Red lid general waste bin -240L ($351.50 Lime green lid FOGO bin - 240L ($351.50) Yellow lid recycling bin - 240L ($351.50) Cancel or remove additional bin service Bin sets Two bin service (per set) including 1x240L red or dark green lid general waste bin and 1x 240L yellow recycling bin ($703.10) Three bin system (per set) including 1x 240L red or dark green lid general waste bin, 1x 240L yellow lid recycling bin and 1x 240L lime green lid FOGO bin ($703.10) Additional comments Declaration of property owner or managing agent Signature*This field is required. * Required Field. Date*This field is required. * Required Field. Rubbish services fees and conditions Rubbish Services are as per the Town of East Fremantle's Schedule of Fees and charges. Rubbish Service Fees are an annual fee calculated on a pro-rata basis for ratable properties from thedate the bin is delivered to the property. Additional charges will continue and be reflected on your rates notice or invoiced until the Town of EastFremantle is advised in writing that you wish to discontinue the additional service. Provided all required information has been submitted to the Town, please allow up to seven businessdays for your request to be actioned. The Town undertakes random waste auditing annually. Properties that repeatedly misuse bins may havetheir bins removed (following discussions with the owner/occupier). The Town is committed to reducing its waste impact and is within its rights to reject additional binrequests. Type the code from the image: Do not fill this textbox.