• UOMA Nova Scotia - Collection Facility Registration Form

  • For UOMA NS usage only

    Invoice: ___________________________________



    GL # ________________   Date: _______________

    HST (15%) _________________   

    Sub-total: __________________
    Total:  ______________________

    Prepared by ________________________________

    Signature __________________________________

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  • This agreement authorizes UOMA NS to register your company with UOMA NS as a collection facility for used oils and glycols (antifreezes), used oil filters, used oil, glycol (antifreeze) and diesel exhaust fluid containers of 50 litres or less (including cleaners for automotive parts and lubricant aerosol containers) for the general public.

    Your information will be posted on our website or given verbally to those who call in. You agree to function as a collection facility for a minimum of 1 year and offer the drop-off service free of charge to the public. 

    You are responsible for contacting UOMA NS to report any changes that occur to the information posted on the website. UOMA NS will forward you a one-time bonus of $ 100.00 plus taxes after 3 months of operation as a thank you for assisting the UOMA NS program. Your company will continue to be displayed on our website as an active collection facility until such time as you request to be removed.  

  •  I, {contactInformation}, {title} , declare to be duly authorized to act herein and certify that our company, association or municipality {companyName} acts in accordance with applicable laws and regulations.

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