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DUMP TRAILER SERVICE AGREEMENT

Customer Information

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Customer Name:

Phone Number:

Email Address:

Service Address (Where Dumpster Is Placed):

Billing Address (if different):

Service Details:

Drop-Off Date:

Pick-Up Date:

Material Type _{(check all that apply)}

Important weight & overfill disclaimer _{(dot compliance)}

Customer acknowledges that dumpsters and dump trailers must comply with DOT weight and safety regulations.

Overfilling above the side walls or exceeding weight limits is strictly prohibited
Customer is responsible for ensuring debris does not exceed allowed capacity
Any overfilled or overweight load will result in additional fees

Overfill / Overweight Fine:
Customer agrees to pay an additional fee of $150 if the dumpster or trailer is overfilled or exceeds legal DOT weight limits.
If an unsafe load prevents transport, customer agrees to:

load prevents transport

Remove excess material OR

Pay for additional hauling, labor, or trip charges

Description of Services

Subtotal:

Additional Fees (overfill, overweight, access, wait time, etc.)

Total Amount Due:

Payment Information _{(Credit / Debit Card)}

Name on Card:

Card Number:

Expiration Date:

CVV:

Billing ZIP Code:

paymetn authorize

I authorize the above card to be charged for services rendered, including any applicable overfill or DOT-related fees.

Customer Acknowledgment & Signature
By signing below, customer confirms:

All information provided is accurate
They understand and accept the overfill / DOT compliance policy
They authorize payment for all services and applicable fees

Date:

Printed Name:

Customer Signature:

Sign Here

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DUMP TRAILER SERVICE AGREEMENT

Material Type (check all that apply)

Important weight & overfill disclaimer (dot compliance)

Payment Information (Credit / Debit Card)

Material Type _{(check all that apply)}

Important weight & overfill disclaimer _{(dot compliance)}

Payment Information _{(Credit / Debit Card)}