FRED HAMM INC.
640 BLDG 2 RAILROAD STREET - PO BOX 5096
JERSEY SHORE PA 17740
PHONE (570)398-1814 FAX (570)-398-1872
Name _______________________ SSN_____________________
Street ______________________
City ____________State __________ Zip_______
Phone____________________
E-MAIL ______________________________________________________
AGREEMENT
FOR SERVICE ACTIVAITON WE MUST RECEIVE THIS SIGNED AGREEMENT ACCOMPANIED WITH THE 1ST MONTHS’ PAYMENT!
SELECT ONE:
_____ONE CAN RATE...... YOUR 30-32 GALLON CAN OR BAG PICKED UP EACH WEEK FOR PER MONTH, CURB SERVICE.
_____TWO CAN RATE...... YOUR 30-32 GALLON CANS OR BAGS PICKED UP EACH WEEK FOR PER MONTH, CURB SERVICE.
_____95 GALLON CART..... OURS PICKED UP WEEKLY FOR EACH MONTH, CURB SERVICE. THE CART BELONGS TO FRED HAMM INC. YOU ARE RESPONSIBLE FOR THE CART WHILE IT IS IN YOUR POSSESSION.
ALL EXTRA CANS OR BAGS OVER THE RATES ABOVE ARE CHARGED AT $3.00 EACH. IF YOUR CANS ARE LARGER THAN 32 GAL. PLEASE SELECT A LARGER RATE!
NO CREDIT ISSUED FOR TRASH NOT OUT. WE WILL NOT RETURN UNTIL THE FOLLOWING WEEK IF THE TRASH IS NOT OUT. DRIVERS START AS EARLY AS 12:00 A.M. PLEASE PUT YOUR TRASH OUT TO THE CURB THE NIGHT BEFORE YOUR SCHEDULED PICK UP.
WE BILL MONTHLY AND EXPECT TO BE PAID MONTHLY FOR OUR SERVICE. DO NOT LEAVE PAYMENT WITH TRASH! YOU CAN PAY BY MAIL OR AT OUR OFFICE. WE ALSO OFFER DIRECT DEBIT. THERE IS A 1.5% MONTHLY SERVICE CHARGE FOR LATE PAYMENTS. IF COLLECTION EFFORTS MUST BE MADE, THE COST OF COLLECTION FEES IS ASSUMED BY THE CUSTOMER!
IF YOU WOULD LIKE YOUR BILL E-MAILED TO YOU INSTEAD OF A PAPER BILL WRITE IN YOUR EMAIL ADDRESS: E-mail_____________________________
*COMING SPRING 2010 E BILL AND ONLINE PAYMENT PROSESSING
OFFICE HOURS ARE 8:00AM-4:30PM MONDAY - FRIDAY
I
Your Signature:_____________________
Print Name _________________________