FREEDOM BINS Customer Contract

FREEDOM BINS Customer Contract

Complete this online contract form with your contact details, service preferences, and required signatures.
Customer Details
Customer Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Service Location and Access
Service Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Access Instructions
Gate or Entry Notes
Bin Location Details
Service Preferences
Would you like the bins returned to the same location after service?
What day is your trash pickup?
Bin location preference
Service-related instructions
Preferred contact method
Additional instructions
Other service preference details
Pet and Property Information
Are there any pets or animals on the property?
Pet or animal type
Pet location, access, or safety notes
Service Plan Selection
Service Plan Selection
Plan Notes
Authorization and Terms Acknowledgment
Click here to view the Terms & Conditions PDF

https://drive.google.com/file/d/11U6erglNEZDXTi9rWV3P-xX31-ySofls/view?usp=sharing
Customer Name (Print) – Authorization
Please review the Terms and Conditions before signing.
Customer Terms PDF — download and review before signing.
Customer Signature – Authorization
Date – Authorization

MonthDayYear
Date
Customer Name (Print) – Terms & Conditions Acknowledgment
Customer Signature – Terms & Conditions Acknowledgment
Date – Terms & Conditions Acknowledgment

MonthDayYear
Date
Should be Empty: