CEW11 - Special Event Bin Hire Applicant Details Organisation/Company*This field is required. * Required Field. Contact Person*This field is required. * Required Field. Address*This field is required. * Required Field. Telephone Number*This field is required. * Required Field. Alternate Contact Number Email Address*This field is required. * Required Field.* Please enter a valid email address. Terms and Conditions A minimum of two (2) weeks' notice is required for all bin hire requests, please ensure that your application is completed and submitted with the City of Greater Geraldton at least two (2) weeks prior to the commencement of your event. All bin hire will incur a charge based on your application; this includes the delivery and collection of the bin(s) for your event and one (1) service to empty the waste in the bin at the conclusion of your event. The City of Greater Geraldton will not service bins mid-event for a one (1) day event, so please ensure that enough bins are ordered to cover the event's waste requirements. Supporting Documentation - any additional supporting information to support your application (ie. bin delivery location), please attach at the end of the application. All payments must be made prior to the event start date for the delivery of the bins. Event Information Name of the Event*This field is required. * Required Field. Location of the Event*This field is required. * Required Field. Bin Delivery Date*This field is required. * Required Field. Bin Pick-Up Date*This field is required. * Required Field. Number of Bins required*This field is required. * Required Field. The delivery and collection of bin(s) will be conducted by our contractors between 8am and 4pm. Do you required delivery/collection outside these times? YesNo If you selected yes, please enter the Bin Delivery and Pickup Times below: Are additional services required? YesNo Where an event spans a couple of days, you may require additional services. If YES, when? Have you received a City Community Grant? YesNo https://www.cgg.wa.gov.au/community/our-community/community-grants.aspx If YES, how much? Fees and Charges Please refer to the City's Fees and Charges documentation, located on the City website under Infrastructure Services (Sanitation). Please Note: additional fees will apply if services are required on weekends, plus for additional services. File Upload Do you have any supporting documentation? eg. location map for bin delivery etc. YesNo If Yes, please attach any Supporting Documentation Max File Size: 10.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx I have agreed to submit this application by electronic means. I can confirm that the information given in this application is true, complete and accurate. By checking this box and typing my name below, I am electronically signing my application.*This field is required. Please tick here Signature*This field is required. * Required Field. The City of Greater Geraldton collects the personal information you provide in relation to the Special Event Bin Hire form so we can deliver the service, process your request, and meet our legal obligations under the Local Government Act 1995 and any other related legislation. Your information may be shared with government agencies, contractors, or others where authorised by law or with your consent. Where required by law, your personal information will be made publicly available, e.g. public registers. The City manages personal information in accordance with relevant privacy legislation and takes reasonable steps to protect it from unauthorised access or disclosure. You may request access to, or correction of, your personal information by contacting the City at pris@cgg.wa.gov.au. Type the code from the image: The code you entered is not valid. Get Audio CodeType the code from the image Was this page helpful? How can we improve this page? Email Address*This field is required. * Required Field.* Please enter a valid Email Address Type the code from the image: Do not fill this textbox.