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Residential Trash Removal – Commercial Trash Removal

TYGARTS VALLEY SANITATION INC.

PO Box 142, Beverly, WV 26253
Phone (304)338-2003 • Fax (304)-338-2011

APPLICATION FOR NEW RESIDENTIAL SERVICE

Customer Name

Date to begin service:

Service Address:

Mailing Address:

Phone:

Email Address:

Do you prefer monthly or quarterly billing?

Monthly Quarterly

Do you run a business out of your home?

Yes No

CONTRACT GUIDELINES FOR RESIDENTIAL CUSTOMERS

We provide a weekly service for $29.14 per month or $87.42 per quarter. Under no circumstances do we break the monthly fee down to a per week amount. Our service is available to you each week and we must charge for that availability. This is an ongoing service, you cannot skip months.
If you wish to discontinue service, temporarily or permanently, a 5 day notice is required along with a completed termination form. YOU WILL BE RESPONSIBLE FOR MONTHLY PAYMENTS UNTIL SERVICE IS DISCONTINUED.
You are allowed up to 6 bags per week of your household solid waste with a 30 pound per bag weight limit.
This contract is for only your personal household waste. Combining (or setting in) with a relative, neighbor or friend is against the law and is a chargeable offense, Code of West Virginia §22C-4-10, with fines and penalties.
You will receive an annual sticker that needs to be attached to something permanent (trash can, mailbox post, stake, etc.). This sticker must be plainly seen from where your garbage sits, or garbage will not be picked up.
All waste must be securely bagged and tied. Broken Glass is to be put in a box and then placed in a bag. Hypodermic needles need to have the cap replaced and then put in a plastic container. Cardboard boxes are to be broken down and tied with a string. We do not pick up ashes, free flowing liquids (oil, paint, etc.), vehicle parts, construction and demolition material. Please have your garbage out by 7:00 AM on your pick up day which is on .
There is a thirty dollar ($30.00) Returned Check Fee. When a check or other payment is returned by the Customer’s bank service the charge will be applied. If a Customer has two returned payments within a 12-month period, we have the right to refuse any further personal checks from the Customer for at least a 12-month period.
For Major Holidays, we may have to re-schedule your pick up day. If your pick up is affected by a holiday, a schedule will be mailed to you. A special pick up for extra garbage can be done for an additional fee, call the office for more information.
I have fully read and understand all contract guidelines and responsibilities and wish to begin services as stated above.
The following is information concerning the Bulky Good Pick Up. In July 1999, the Public Service Commission of WV issued a bulky good collection. A bulky good is a large household item that is too big to fit into a bag. Examples are such as a couch, chair, stove, refrigerator, washer, dryer, television, hot water tank, or a mattress and box springs.
The following are guidelines for bulk good pick up: Only ONE item will be picked up each month. Items must not contain Freon, there is a $50.00 fee if an item picked up contains Freon. We DO NOT pick up vehicle parts, construction, and demolition material.
If you have an item and are not sure if it can be set out, please call us at (304)338-2003 or (304)338-2021 so we can find out for you.

Customer Signature

Printed Name of Customer

Date

TYGARTS VALLEY SANITATION INC.

PO Box 142, Beverly, WV 26253
Phone (304)338-2003 • Fax (304)-338-2011

Business and/or individual credit application

Business Name:

Address:

City:

State:

Zip:

Phone:

Tax ID#:

Primary: Name

SS#:

Address:

City:

State:

Zip:

Home Phone:

Cell:

E-Mail:

Secondary: Name

SS#:

Address:

City:

State:

Zip:

Home Phone:

Cell:

E-Mail:

Individual Name:

Address:

City:

State:

Zip:

Phone:

SS#:

Date of Birth:

Employer Name:

Employer Address:

City:

State:

Zip:

Years Employed:

Business Phone:

Tygarts Valley Transfer Account Agreement

The information set forth in the account application is for the purpose of obtaining credit and is warranted to be true, I/we hereby authorized Tygarts Valley Transfer Inc. to investigate all references and customary credit information sources including consumer credit report in repositories regarding my/ our credit and financial responsibility for the purpose of maintaining the credit relationship.

Credit Terms: All invoices are due in full per the terms printed on the invoice or as otherwise expressly agreed. A finance charge of one and half percent (1 ½%) per month or 18% annum, or the maximum allowable by state law, may be assessed on delinquent invoices. Tygarts Valley Transfer reserves the right to change its credit terms at any time. New credit terms may be applied to existing balance on your account unless prohibited by law.

Venue, Attorney Fees, Costs: In the event of default, and if this account is turned over to an agency for collection, the undersigned agrees to pay all reasonable attorney fees, and/or costs of collection whether or not suit is filed. Venue for any action arising out of or in any way connected to this agreement, at Tygarts Valley Transfer option, shall lie in Randolph County, WV. Applicant’s signature attests to financial responsibility, ability, and willingness to pay in accordance with above terms.

Business Account Signatures:

Firm Name:

By:

Title:

By:

Title:

Individual Account Signatures:

Signature:

Print Name:

Date:

Personal Guarantee:

For valuable consideration, the receipt of which is acknowledged, including, not limited to, the extension of credit by Tygarts Valley Transfer to the above-named Company/Individual, the undersigned, as Guarantor, Individual, Jointly and severally, unconditionally guarantee(s) Tygarts Valley Transfer the full and prompt payment of all obligations which said Company/Individual may presently or hereby owe Tygarts Valley Transfer and payment when due of all sums presently or hereby owing by the Company/Individual to Tygarts Valley Transfer. Guarantor agrees to indemnity Tygarts Valley Transfer against any losses Tygarts Valley Transfer may sustain and expenses incurred in collecting or compromising any indebtedness guaranteed hereunder or in enforcing this guaranty against guarantor. This shall be a continuing Guaranty, Presentation, Demand, Protest, or notice of any kind is waived: it shall remain in full force until guarantor delivers to Tygarts Valley Transfer written notice revoking it as to indebtedness incurred subsequent to such delivery. Such delivery shall not affect any of the guarantor’s obligations hereunder with respect to indebtedness incurred prior to delivery of such notice.

The undersigned personal guarantor, recognizing that his or her individual credit history may be a necessary factor in the evaluation of this personal guarantee, hereby to and authorized the use of a consumer credit report on the undersigned, by Tygarts Valley Transfer from time to time as may be needed in the credit evaluation process.

Signature:

Print Name:

Date:

Credit Terms:

Thank you for your business, we look forward to our business relationship.

Please review the following terms of your credit account and kindly sign if you are in agreement.

Return one copy, second copy is for your records.

1. Invoices are issued at the time of tipping. A Statement is issues monthly of all unpaid invoices.
2. Full payment of the statement is expected 20 days from statement date.
3. Balances unpaid after 25 days from statement date shall incur a 1.5% service charge.
4. Credit terms are revoked for accounts with balances older than 30 days.
5. Accounts with activity averaging less than $100 per month may be asked to convert to C.O.D. account.

Accepted and Agreed

Signed:

Date: