Title*
First name*
Surname*
Full address (including postcode)*
Telephone number*
Mobile number
Email address*
Billing address (if different from your personal address)
Have you previously had your septic tank emptied by our service?* YesNo
Is the septic tank associated with a domestic or commercial property?*
DomesticCommercial
Can you provide information about the location of your septic tank?*
Please provide additional details about your septic tank, such as its make/model and the septic tank's capacity.*
Can the lid of the septic tank be lifted by a single operator?* YesNo
When would you like the septic tank service to begin?*
How frequently would you like the tank to be emptied?* Annually (once a year)Bi-annually (twice a year)Other (please state)
Other:
Both parties have the option to terminate the agreement and contract by providing written notice. If there are changes in ownership or tenancy, it is crucial that you inform us well in advance to allow new owners to make necessary arrangements. Failure to do so may result in liability for payment if the emptying service proceeds.
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