RECYCLING BIN APPLICATION FORM Amount Paid - R Receipt Number: OWNER AND / OR TENANT DETAILS Stand Number: Address: Name of Owner: Name of Tenant: Home Owner: Cell Number: Email Address: Telephone Number: I HEREBY REQUEST THE FOLLOWING: YELLOW BIN @ R747.50: Yellow Bin PLEASE NOTE THAT THE HOA WILL NOT BE HELD RESPONSIBLE FOR ANY LOSS OF/OR DAMAGE TO RECYCLING BINS This is a once off cost and is non-refundable. Once purchased the bin/s will become the property of the purchaser. Recycling takes place on the same day as refuse removal. Recycling bins should be put out with black bins by 7:00 on the day of collection. Payment can be made via cash, debit card / credit card at our office or via electronic transfer, as follows: Bank Nedbank Account Name Silver Lakes HOA Account No. 163 104 8759 Branch Code 163 145 Reference Erf No I/We, the undersigned hereby agree and accept the above SIGNATURE OF APPLICANT: DATE: Click here to upload any supporting documentation, Eg, Proof of Payment Alternatively, please send proof of payment to reception@silverlakes.co.za or debbie@silverlakes.co.za We are committed to protecting your privacy ensuring that your Personal Information is collected and used properly, lawfully, and openly for the following purpose: Recycling Bin Application We confirm that your Personal Information collected will be used and disposed of as is required by the Protection of Personal Information Act No. 4 of 2013 (POPI Act).
