Commercial Account Application Form - Solid Waste And Recycling - Teton County
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1Solid Waste and Recycling
Physical Address: 1088 Cemetery Rd
Mailing Address: 150 Courthouse Dr
Driggs, ID 83422
Phone: 208-354-3442 Fax: 208-354-3442
COMMERCIAL ACCOUNT
APPLICATION
**NEW ACCOUNTS MAY NOT BE IMMEDIATELY AVAILIBLE FOR USE ON THE DAY PAPERWORK IS TURNED IN**
A $20.00 NON-REFUNDABLE APPLICATION FEE MUST BE SUBMITTED WITH THE APPLICATION
Company Name: ________________________________________________________________________________
Contact Person: ____________________
Phone:_______________________
Fax: _______________________
Current Mailing address: __________________________________________________________________________
City _________________________
State: _______________________
ZIP Code: __________________
Preferred Billing Method: Mail:_____ Email:_____
Email Address:______________________________________
ALL ACCOUNT USERS MUST HAVE THE PASSWORD IN ORDER TO USE THIS ACCOUNT
Account Password: ___________________________________________________________________
CREDIT TERMS AND CONDITIONS
•
THE APPLICATION FEE AND A BUSINESS CARD MUST BE SUBMITTED WITH THIS APPLICATION.
•
For the purpose of establishing and maintaining credit, the statements and information provided in and with this
application are full, true and correct.
•
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Applicant agrees to pay all charges by the 30
of the month following the month’s disposal.
•
If a credit customer establishes a routine of slow payment, nonpayment on past due invoices, the account may be
shut off and may not be reinstated to charge statue. Account needs to be brought current by cash or check
payment in full amount. Solid Waste Supervisor will determine whether account will be reinstated once
suspension has accrued.
•
Applicant agrees to pay all cost of collection, including reasonable attorney fees, in the event Applicant fails to
pay.
•
A $5.00 late fee will be charged on all accounts not paid
Applicants wishing to apply for Commercial Account with Teton County Solid Waste Facility in accordance with these
terms, and conditions, which have been read, understood and accepted. The undersigned is an officer or owner of
Applicant and is authorized to represent and binds Applicant with respect to these matters.
Title: _______________
Print Name: ____________________________________________________
Date: _______________
Signature : _____________________________________________________
FOR COUNTY USE ONLY:
Date: _______________
Application approved by: _________________________________________
Fees paid: ___________
Check # ________
Cash _____
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