Application for Tipping Fee Account

For inquiries or problems with the form please contact ecoinfo@tnrd.ca or 250-377-2596

Date

Company Name

Phone

Fax

Mailing Address

City

Province

Postal Code

Number of Eco-Cards Being Requested

Pick-Up or Mail?

I am an authorized representative and agree to the following terms & conditions. Invoices are to be paid within 30 days of the invoice date. Amounts owing after 30 days are subject to interest charges of 1.5% per month. Accounts in arrears after 60 days are subject to disposal privileges being suspended. Accounts that are in arrears after 180 days will be sent to a 3rd party collection agency. Address changes will be forwarded to the TNRD by mail or e-mailed to finance@tnrd.ca. Accounts are intended for customers accumulating at least $50 per month in charges.

Name of Authorized Person

Position

Date

Application for Tipping Fee Account

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