Landfix | Truck Bookings

Have you completed a Landfix Soil Declaration for this booking?*

YesNo
***Only Bookings With An Approved Soil Declaration Will Be Permitted On Site***

If you would like to submit a Soil Declaration now, you may do so via this link.

Company Information
Company Name*
Method of Payment*

Credit AccountCredit Card AccountCOD

Booking Contact Information

Person who can be contacted with all booking related enquiries.
Full Name*

First NameLast Name
Position*
Other - Please Specify*
Phone Number*

Area CodePhone Number
Email*

Confirmation Emailexample@example.com

Site Information

Address as listed on your Landfix Soil Declaration.
Site Name or Job Number
Purchase Number (PO#)
Site Address*

Street Address (include lot/street number)

Street Address Line 2

CityState

Post Code

Tip Information
Nominated Landfix Site*
Other - Please Specify*

Booking Details
Will you be picking up or tipping?

Pick UpTippingBoth

Pick Up

Picking up materials from the Landfix site.
Booking Date & ETA*

DayMonthYear
DateHourMinutesAM/PM Option

Drop Off

Unloading materials at the Landfix site.
Booking Date*

DayMonthYear
Date

Terms & Conditions

Please read the following terms and conditions carefully.
I understand and agree.*

Landfix maintains the right to refuse or reject any material that it believes does not come from the nominated site of origin or does not meet the EPA requirements and guidelines.
I declare.*

I am authorised to complete this booking on the behalf of the named company, and use it's credit facilities. I understand that Landfix maintains the right to refuse or reject and booking it believes is not duly authorised or does not meet the required EPA standards.
I acknowledge, understand and agree.*

By submitting this form I warrant on behalf of the generator that all fill material to be disposed of by the generator will come exclusively from the nominated site of origin. The generator indemnifies Landfix Pty Ltd against all costs that may be incurred as a result of having to remove any materials that do not meet the specifications for 'Fill Material' as specified by EPA IWRG600.2, EPA "Industrial Waste Publications", EPA IWRG621 "Soil Hazard Categorisation and Management" and subsequent revisions. The indemnity includes but is not limited to cost associated with the plant and machinery hire, disposal fees, labour, loss of income through site closures. I acknowledge that acceptance of 'Fill Material" is solely at the discretion of Landfix Pty Ltd and maintains the right to reject any material that it believes does not originate from the nominated site or does not meet the required EPA standards.
Signature*

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Full Name*

First NameLast Name
Date*

DayMonthYear
Date
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Company Information

Booking Contact Information

Site Information

Tip Information

Booking Details

Pick Up

Drop Off

Terms & Conditions