I have read and understand the rates charged by Patroit Environmental are T & M or disposal only unless otherwise stated and agree to net 30 days as payment terms. I understand non-payment will result in liens being filed and interest to accrue @ 18% per year. All information regarding job site information, is correct. I understand that Patriot Environmental must be provided with all information, paperwork, insurance requirements, and conditions that must be met in order to receive payment by me at the time of this application’s submission. I acknowledge that failure to provide Patriot Environmental with these requirements prior to any service being rendered will result in their non-completion, and I agree that this will not affect the payment of any charges incurred. I am authorized to open an account for my company and all information on is correct.