COLLECTION AGREEMENT

QUENCHyourMotorsThirst@DoctorBioDiesel.com
www.DoctorBioDiesel.com
928-237-1527
Your Leader in Oil Recycling
I accept the terms and conditions of this supply agreement set forth above and upon the back page hereof. I also
represent that the account information I have supplied above is correct to the best of my knowledge.
Signature Required on Reverse
Restaurant Name
Contact
Date
Phone Number
Fax Number
E-Mail
Billing Address
City/Town
State
Zip Code (9 Digits)
Pick-Up Address
City/Town
State
Zip Code (9 Digits)
Previous Supplier
Notify Supplier
Pick-Up Instructions:__________________________________________________________________________
___________________________________________________________________________________________
Notes:_____________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
BioGREEieselGuys Signature: ____________________________________________
Date: __________
Customer Signature:_________________________________________________
Date: __________
YES   NO
55 Gallon Drum (Free)

# Of Drums Requested 2 3 4
200 Gallon Dumpster ($200 deposit required)

Deposit Collected
Preferred Container Location: (Back Door, Near Trash, etc)____________________________________________
This document contains the entire agreement between BioGREEieselGuys, LLC (hereafter BioGREEieselGuys)
and the customer, and there are no promises, terms, conditions, or obligations other than those oriented herein.
The customer agrees to abide to all the terms and conditions of this agreement.

BioGREEieselGuys is a registered cooking oil recycling company with the State of Connecticut.
1. Period of Agreement: This agreement shall become effective on the date it is signed by the customer and shall
remain in effect for a minimum of one year. After one year, the contract will remain in effect unless notice is given
by the customer. BioGREEieselGuys reserves the right to terminate this agreement at any time.

2. Early Termination Fee: If customer terminates this Agreement prior to the first anniversary of this Agreement,
customer shall be in breach of this Agreement. As a result of this breach, customer agrees to pay BioGREEieselGuys
an early termination fee in the amount of $100.00 to compensate BioGREEieselGuys for the costs and expenses it
incurred to ensure the performance of this Agreement. The payment of the early termination fee shall be in addition to
and not in lieu of, payments of any other amount owed by the customer for the collection of cooking oil and services
provided by BioGREEieselGuys through this Agreement.

3. Collection: Collection of cooking oil from a storage container or containers at customer's address shall be
considered a collection from customer. A copy of the collection ticket may be left at the customer's address even
if the customer is not present at the time of the pick-up. Customer grants permission to BioGREEieselGuys to access
the property and to keep the property accessible at agreed times for pick-ups. In the event that the agreement is
terminated by either the BioGREEieselGuys or the customer, the customer grants unlimited access to the property for
the BioGREEieselGuys to remove oil storage container from grounds.

4. Automatic Pick-Up: The customer hereby acknowledges that BioGREEieselGuys will make all grease pick-ups by
automatic collection. Automatic collection means that BioGREEieselGuys will pick up product from customer on a
schedule it controls, and without prior notice to the customer.

5. Force Majeure: BioGREEieselGuys is not responsible for events that prohibit us from fulfilling this contract for any
of the following reasons: acts of God, unusually severe weather conditions, war, civil commotion, riots, labor unrest
and failure of public utilities or common carriers acts of terrorism or any uncontrollable force.

6. General: 1.) All contracts are final. 2.) BioGREEieselGuys is not responsible for driveway damage unless buyer
specifies in writing that BioGREEieselGuys is prohibited to use. 3.) Customer shall hold harmless BioGREEieselGuys
from any and all claims arising out of the storage of waste oil, use, operation, maintenance or repair of waste oil
equipment resulting from the negligence of the customer. 4.) BioGREEieselGuys is not responsible for claims resulting
in any damage to unmarked sprinkler, electrical, septic, phone, utility or other underground lines.
5.) BioGREEieselGuys shall not be liable for any loss sustained from any and all claims arising out of storage or the
use, operation, maintenance or repair of equipment resulting from the negligence of the customer. 6.) No delay on the
part of either party in exercising any of its rights hereunder shall prevent the exercise of such rights at a later date, and
any waiver or any breach of this agreement by either party shall not be deemed a waiver of any other subsequent breach.
Customer Signature:_________________________________________________
BioGREEieselGuys Signature:__________________________________________
Date:__________
Date:__________
BioGREEieselGuys, LLC
GENERAL TERMS AND CONDITIONS