Please Tick All That Apply

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Please Tick All That Apply

KEEP A (PREVIOUSLY) NON

PAYING ADDITIONAL BIN

To complete this form online, please go to www.geelongaustralia.com.au/bins ** Only resident property owners paying the waste collection service charge may request to keep an additional bin.**

PERSONAL DETAILS

FIRST NAME SURNAME

PROPERTY ADDRESS

SUBURB POSTCODE

PHONE NUMBER/MOBILE RATE NUMBER (on your property’s rates notice)

EMAIL ADDRESS

NOMINATE THE BIN YOU WOULD LIKE TO KEEP (2017-18 FINANCIAL YEAR)

PLEASE TICK ALL THAT APPLY

I would like an ADDITIONAL 120/140 litre garbage bin (red lid) Half year fee* $69.40 Ongoing annual fee $138.80

I would like to exchange both 120/140 litre garbage bins for a 240 litre garbage bin (red lid) Half year fee* $49.75 Ongoing annual fee $99.50

I would like an ADDITIONAL 240 litre recycling bin (yellow lid) Half year fee* $24.65 Ongoing annual fee $49.30

* Half year fee covers period from 1 January – 30 June 2018. TERMS AND CONDITIONS

 A maximum of one additional garbage and/or recycling bin is available for each eligible household.

 The half year fee for an additional bin will be added to the Rates, Valuation and Charges for the current financial year. An updated notice will be sent to the property owner, with a request for payment in early 2018.

 For future financial years, the annual charge for the additional bin(s) will automatically be included on the Rates, Valuation and Charges notice for the property until the service is cancelled.

 The applicant must maintain the bin in a sound and clean condition, suitable for collection.

 The applicant must only dispose of approved materials in each bin (see www.geelongaustralia.com.au/bins for more information).

 No refunds will be issued for cancellation of an additional bin.

 Cancellations must be received before 30 June to avoid being charged for use of the bin in the next financial year. You can cancel online or request a cancellation form on 5272 5272.

 Bins will remain the property of the City of Greater Geelong at all times.

I acknowledge and agree that the additional bin/s currently in existence for the stated property, will incur charges to my Rates, Valuation and Charges Notice.

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Signature ______Date______

RETURN COMPLETED FORM

Email Post Need more information? [email protected] City of Greater Geelong Contact us on 5272 5272 Attn: Waste PO BOX 104 GEELONG VIC 3220

PRIVACY STATEMENT

We will comply with the Information Privacy and Health Privacy Principles as set out in the Privacy and Data Protection Act 2014 and Health Records Act 2001. For more information, search for ‘privacy’ on our website.

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