Event and Organization Form - Evergreen Septic Pumping, LLC

Event Name *

Event Description

Organization Name *

Organization Contact Person *

Organization Contact Email *

Organization Contact Phone Number *

Organization Address *

Event Date *

We deliver on or before this date.

Event End Date *

We pick up on or after this date.

Event Location and Hours of Operation *

Servicing Hours *

Servicing Frequency Requested *

Daily. $60 per unit for weekday services. $75 per unit for weekend services. No call-out fee when selected prior to dispatch.

No additional services needed.

On-Call Weekday services as needed. $60 per unit for service.

On-Call Weekend services as needed. $100 call-out fee and $75 per unit for service

Custom Servicing Frequency Notes Here

Additional Event Contact Name & Phone Number

Unit(s) Requested *

Pricing Below is for individual units for on-Peninsula locations for up to one week. Off-Peninsula pricing dependent upon event address. Additional rental periods increase costs.

Each unit has an additional weekday $50 delivery fee with the exception of ADA toilets, which have a $100 delivery fee due to size. Weekend deliveries start at $75.

Free Standing Wash Sinks are subject to sales tax of 8.2%.

A- Standard Portable Toilets. $175

B- Portable Toilet with Sink. $225

C- Wheelchair Access Toilet. $410

D- ADA Toilet- Title III Compliant. $550

E- Free Standing Wash Sink. $175

Please note the quantities of the above items *

General Location Description for Each Unit *