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CONTROLLED WASTE TRANSFER NOTE
This form must be completed, signed and returned to M&M Skip Hire Ltd, Worton Farm, Cassington,
Witney, Oxon, OX29 4SU before we can collect your commercial waste.
We wil return a signed copy to you for your records. Please note you are legally obliged to retain this
document for at least 2 years from the commencement date.
Company Name
Address
Contact
Telephone
Postcode
Order Number
Mobile Email
CUSTOMER DETAILS
DUTY OF CARE
Description of business type (eg office, catering, retail)
Disposal Address (If different from above)
Postcode
European Waste Code (6 Digits)* Waste Description
* See www.mmskiphire.com for further details
Is the waste pre-treated? Yes No If yes, how
Please give any additional information necessary for the safe handling, treatment or disposal of your waste
Annual renewal: To assist customers to comply with regulations and benefit from an uninterrupted service, M&M Skip Hire Ltd will
automatically issue a renewal Waste Transfer Note prior to the expiry of this document, unless there is an agreement to terminate the
contract
Type of container (please indicate)
1100 Litre 660 Litre 360 Litre 240 Litre
Wheelie Bin
AGREEMENT
Agreed by the Customer Agreed by M&M Skip Hire Ltd
Authorised
Signature
Print Name
(Block Capitals)
Print Name
(Block Capitals)
Authorised
Signature
M&M Skip Hire Ltd, Worton Farm, Cassington, Witney, Oxon, OX29 4SU Registered Carrier Number: CB/TN5777YT
120 Litre
SIC Code
Period of contract:
Date
Job Title Job Title
Date
From To
I would like any excess waste to be removed when
the bin is serviced and I accept the additional charge
Yes No