Trojan Waste Transfer Form – ADIA Service Form

Waste Carriers License No: CB/DE5847BQ

Date

Time

: HH

MM

Vehicle Registration

Customer

(Current Holder of Waste)

Site Address

Address Address Line 2 City State Post Code

Delivery or Collection?

How is it contained?

What is the size?

Type

Other.. Please specify?

I/We certify that the above information is correct, subject to Trojan Stripout's Terms & Conditions.

Print Name

First Last

Clients Signature

Job Completed to Client's satisfaction

Date

NO TYRES / NO FRIDGES/ NO ASBESTOS OR ADDITIONAL CHARGES WILL BE MADE Terms & Conditions available on request.

Overweight loads will be surcharged