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Pre-Authorize Payments
Pre-authorized Payment is a convenient way to automatically pay your bills with your credit or debit card.
This form provides account information and is used when arranging pre-authorized payments. Simply complete this form and submit it.
Questions?
Call us at
1-519-948-5854
"
*
" indicates required fields
Your Information
Name
*
First
Last
Email Address
*
Phone
Please provide a phone number with area code in case we need to contact you.
Address
*
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Herby Curby Account #
Please enter your Herby Curby account number if known
Pre-Authorized Payment Type:
*
Please select your payment method.
Debit
Credit Card
Banking Information
How to find your banking information on a cheque:
This form provides account information in place of a voided cheque and is used when arranging for direct deposits or pre-authorized payments.
Questions?
Call us at
1-519-948-5854
Bank Transit #
*
5 digit bank transit #
Institution #
*
3 digit institution #
Account Number
*
Up to 12 digits
Category - Please select whether this is for personal or business use.
*
Personal
Business
Credit Card Information
Card Number (no spaces)
*
Expiry Date (mm/yy)
*
CSV on back of card
*
Category - Please select whether this is for personal or business use.
*
Personal
Business
Rental Term
Please select your rental term
*
2 Year Term
1 Year Term
6 Month Term
After the initial term, the rental automatically renews on a month-to-month basis at the same rate.
Container Size
2 Year Term
1 Year Term
6 Month Term
Large
(95 Gallon)
$7.99 /month
$10.99 /month
$14.99 /month
Medium
(64 Gallon)
$6.99 /month
$9.99 /month
$13.99 /month
Small
(48 Gallon)
$5.99 /month
$8.99 /month
$12.99 /month
Rental Bins
Please enter a quantity next to the bins you are renting to calculate your monthly or quarterly payment total.
Large Waste Container (95 gal)
Quantity
Price:
$ 7.99 CAD
Quantity
/month
Medium Waste Container (64 gal)
Quantity
Price:
$ 6.99 CAD
Quantity
/month
Small Waste Container (48 gal)
Quantity
Price:
$ 5.99 CAD
Quantity
/month
Large Recycle Container (95 gal)
Quantity
Price:
$ 7.99 CAD
Quantity
/month
Medium Recycle Container (64 gal))
Quantity
Price:
$ 6.99 CAD
Quantity
/month
Small Recycle Container (48 gal)
Quantity
Price:
$ 5.99 CAD
Quantity
/month
Payment Total
Monthly Payment:
Price:
$ 0.00 CAD
(tax included)
If you choose monthly payments, this is the amount you will be paying every month.
Quarterly Payment:
Price:
$ 0.00 CAD
(tax included)
If you choose quarterly payments, this is the amount you will be paying every 3 months.
Payment Frequency
Please select how often you wish to make your payment.
*
We offer either monthly or quarterly payment.
Monthly
Quarterly
Terms & Agreement
Herby Curby Ltd. Rental Program - Terms and Conditions (Effective April 1, 2025)
*
These policies apply to rentals on or after this date. Existing cart rental rates will remain unchanged, but other fees and charges may be subject to updates.
Rental Rates
• Rental rates are published on our website at HerbyCurby.com. Please refer to the website for current rates.
Administration and Setup Fee
• A fee of $30.00 per cart rented, plus applicable taxes, applies.
• Customer can cancel the rental and obtain a refund of this fee provided the cart has not been delivered.
• Once delivered, the setup fee is non-refundable.
Rental Term
• All cart rentals are for a specific term, starting on the date of the first rental charge and ending on the last day of the month of the final rental charge.
• Rental charges start on the first of the month following delivery. We do not charge for partial months before the start of the rental.
Cancellation Prior to End of Initial Term
• Customer can cancel this agreement if notification is given within 5 business days of the rental application and the cart has not been delivered.
• Once the cart is delivered, the rental agreement cannot be canceled before the end of the initial rental term selected.
• Customer is responsible for all rental payments for any remaining months.
• Herby Curby Ltd. will arrange cart pickup at the customer's location upon cancellation.
Automatic Renewal
• After the initial term, the rental automatically renews on a month-to-month basis at the same rate.
• Customer must provide 30 days' advance notice to cancel.
• Rent is due for the full month following cancellation notice. For example, if notice is given in January, the rental will terminate on the last day of February, and rent will be charged through February.
Cart Condition Upon Return
• All rental carts must be returned in clean condition and free of refuse.
• A $50.00 cleaning fee applies if the cart is not empty or clean upon return.
• Customer will be charged for any unreported damage that is not considered to be due to normal wear and tear.
Payments
• Customer must provide payment via pre-authorized bank withdrawal (PAD) or pre-authorized credit card.
• Failure to maintain a pre-authorized payment method will result in a $5.00 per payment administration fee.
• Payments are due on the first of each month.
• An administration fee applies to any dishonored payments.
• Customer authorizes Herby Curby Ltd. to process any outstanding charges (e.g., unreturned carts, cleaning fees, administration fees) using the pre-authorized payment method.
Default
• An account is considered to be in default when it is 30 days or more in arrears. Herby Curby Ltd. reserves the right to enforce all remedies available under this agreement.
Cart Not Returned
• Customer will be charged the regular retail price of the cart if it is not returned at the end of the rental.
Stolen Cart
• Customer must report theft to their local police and provide Herby Curby Ltd. with the police report number.
• A deductible based on the age of the cart applies for each occurrence.
• Customer should take adequate measures to prevent theft. Herby Curby Ltd. reserves the right to discontinue rental services if theft becomes excessive.
• The customer remains responsible for any remaining rental payments under the initial rental term.
Maintenance of Cart
• Customer is responsible for cost of all repairs not covered by the manufacturer’s warranty. If cart is damaged by a third party, it is the customer’s responsibility to pursue reimbursement from the third party. This includes a broken lid due to mishandling of the cart or damage to the cart body and components.
• Customer is responsible for damages caused by animals and rodents as this is not covered under the manufacturer’s warranty.
• Customer is responsible for damages caused by unauthorized uses, willful damage and fire.
• Customer is responsible to Herby Curby Ltd for the cart. If the cart is damaged beyond repair, customer is responsible for any remaining rental payments due as well as the cost of the cart based on our retail price for the cart in effect at that time.
Sales Taxes
• All charges and fees subject to GST/HST will be adjusted automatically in response to changes in tax rates.
Moving
• Rental carts remain the property of Herby Curby Ltd.
• Customer must notify Herby Curby Ltd. of any address changes.
• Carts may be moved within Essex County, and the customer is responsible for transporting them.
• If moving outside Essex County, the cart must be returned.
• Customer remains responsible for all rental payments through the end of the rental term, regardless of moving locations.
• Failure to notify Herby Curby Ltd. of a move may result in the customer being charged the retail price of the cart.
Pricing
• Prices are subject to change without notice.
• Visit HerbyCurby.com for current rental rates.
• Rental rates remain locked at the original rate as long as the customer remains in the program.
By proceeding with the rental, the customer agrees to the above terms and conditions.
I have read the terms & conditions and agree to this rental agreement.
Signature
*
By signing, I agree to the terms of this pre-authorized payment agreement.
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Comments
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