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Customer Detail Form

New Customer Detail Form



  • Ph: Ian 021 542643
  • Truck: 027 438 5957
  • (after hours 03 755 6986)

Welcome to our service. We ask you to please fill out your customer details below and return this form to us for our records:


    (including trading name if different from company registered name)


    State how often bin to be emptied (eg: weekly, fortnightly)

    Our Accounts Receivable Lady would be pleased to receive your payment on receipt of your
    invoice or at least by the 20th of the month following. Accounts posted will be subject to $1.50

    Direct Credit to Bank Account – MT Drums 2016 Ltd as below

    Nelson Building Society (NBS) Account 03-1354-0394689-16

    Our Terms of Credit: Delayed payment unfortunately shall incur interest at the rate of 2% per month and any recovery
    costs for any outstanding monies owed that are incurred will be the responsibility of the above.

    All rubbish bins supplied become the responsibility of the customer/hirer if lost, stolen or damaged.

    For confirmation status, please sign and return this form to the above address or scan & email if preferred.

    Our Terms :
    The terms set out in this form shall apply to all goods and/or services supplied from MT Drums (2016) Limited (“company”, “we” or “us”)
    to you (“customer” or “you”) from time to time.
    For the purposes of these terms, the words “goods” and/or “services” includes all goods and chattels, services, charges for work and
    labour done, hire charges, fees, repairs, materials, and insurance charges of whatsoever nature, associated with supply of goods and
    services to the customer.
    The customer authorises any person or company to provide the company with such information as the company may require in response
    to the company’s credit enquiries. The customer further authorises the company to furnish to any third party details of the customer’s
    dealings with the company.
    The customer shall pay interest on all amounts not paid on the due date at the rate of 2% per month until receipt of payment in full.
    Interest will be charged from the date on which payment was due on a daily basis. In addition to interest, the customer will be liable for all
    costs and/or expenses including solicitor/client costs that are incurred by the company to recover any amount not paid. Any costs and
    expenses not paid shall also bear interest from the date upon which they are due for payment at the rate of 2% per month. All payments
    by the customer shall be applied first to the reduction of interest and costs due and the balance shall then be applied in reduction of the
    original amounts due. The company may assign all or any part of the amounts owing. There shall be no set-off or withholding of any
    payment due to the company for any reason. Once placed, no order lodged by the customer may be withdrawn, revoked or cancelled
    without the company’s written consent.
    Physical delivery of the rubbish bin(s) by us constitutes delivery to you. The delivery of the rubbish bin(s) to you creates a fiduciary
    relationship between us and you in relation to the rubbish bin(s) and you shall hold the rubbish bin(s) as bailee for us. Risk in the rubbish
    bin(s) passes to you on delivery. Notwithstanding delivery, ownership of the rubbish bin(s) remains with us. All rubbish bins supplied to
    you become your responsibility and at all times we are entitled to recover from you the value of the rubbish bin(s) as a liquidated sum.
    You grant to us a security interest (as such term is defined by the Personal Property Securities Act 1999, hereinafter referred to as the
    “PPSA”). If you default in the payment of any accounts and/or amounts owed to us or in any of your obligations under these terms of
    trade or under any other agreement, we may exercise any and all remedies afforded to a secured party by the PPSA. The customer must
    keep the rubbish bin(s) free from any charge, lien, or other encumbrance or “security interest” as that term is defined in the PPSA.
    Where the supply of goods or services by the company is for business purposes, the provisions of the Consumer Guarantees Act 1993 shall
    not apply and the company gives no warranty that the goods or services are suitable for the purpose for which the customer proposed to
    use them. All terms, conditions and warranties (whether express or implied) whether by the company and/or its agents or employees,
    statute or otherwise (other than mandatory warranties) are expressly excluded.
    The customer indemnifies the company:
    • In respect of all costs and expenses including but not limited to legal costs on a solicitor/client basis that the company may incur as a
    result of default by the customer of any of these terms; and
    • From and against any prosecution, enforcement action or liability arising out of or in connection with work undertaken by the
    company for the customer or in accordance with the customer’s instructions including any loss, damages, penalties, fines or any
    other such costs whatsoever including but not limited to legal costs on a solicitor/client basis.
    The company’s liability in respect of any goods and/or services supplied to the customer is limited in all cases to the value of the relevant
    goods and/or services supplied.
    If you are a company, the undersigned warrants and undertakes that s/he is authorised to sign these terms of trade on behalf of the
    customer and that in the absence of a personal guarantee of payment by a director or shareholder, s/he accepts personal liability for
    payment of all amounts owing under these terms.
    The undersigned as the customer, or the authorised person(s) on behalf of the customer, acknowledge(s) that my/our signature(s)
    confirm(s) that I/we are duly authorised by the customer to sign these terms and I/we have read, understood and accepted the terms and
    I/we agree to be bound by such terms.
    Please sign and return this form to the above address or scan & email if preferred