Roll With It Dumpster Rental Agreement
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Email *
Thank you for choosing Roll With It!
Customer Name:
Customer Contact Phone Number:
Location Address for Dumpster Delivery:
Immediate service area is 30 miles within Appleton; any locations 30-60 miles from Appleton are assessed additional $50 (see below).
Length of Rental Period
For two day rentals scheduled for Friday delivery, dumpster will be picked up on Monday. Additional charge of $50 will be applied for deliveries located within 30 to 60 miles from Appleton.
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Please indicate your preferred reservation date:
Confirmation of booking will be sent to email address listed above. If reservation date unavailable, RWI will contact you.
Please indicate your preferred delivery time:
If no time specified, delivery will be at approximately 8:30 a.m.
Please indicate your desired placement location of dumpster at property site:
If no specific location specified, dumpster will be placed appropriately at our discretion.   Please ensure space is cleared of any vehicles or other obstacles prior to delivery.
Preferred Method of Payment:
Reservation not secured until payment is received in full. Invoices will be sent via Quickbooks. For cash or check payments, Andy will contact you to meet up for payment or can be mailed to address listed in email you received.
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Type of Material to be Disposed
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How did you hear about Roll With It?
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Acknowledgement of Terms & Conditions *
Please check each item to acknowledge our Terms and Conditions. Full disclosure of Terms and Conditions can be found on the Roll With It, LLC website at
Customer Signature *
Customer's typed electronic signature below signifies acceptance of proposal and terms and conditions.
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