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Commercial Direct Payment Authorization


*Note that debris boxes are not allowed in the public right of way street. Exceptions require permitting by the City of Los Altos. Proof of permit must also be submitted to MTWS with this form.
In consideration of the agreement of Mission Trail Waste Systems, Inc. and/or its af liates (“MTWS”) to enter onto the premises of the undersigned described below with MTWS’s vehicles and equipment to collect solid waste and/or recyclable materials, the undersigned does hereby agree to forever release and save harmless MTWS and its shareholders, of cers, directors, agents, af liates, insurers and successors from and against any and all claims, damages, actions, causes of action, costs and expenses (including attorney’s fees) relating to damage to pavement or driving surfaces on such premises which may arise in any manner out of or in connection with the entry or operation on, or egress from, such premises by MTWS’s vehicles and equipment. The undersigned also acknowledges, and waives to the maximum extent permitted by law any rights or bene ts the undersigned may have under, Section 1542 of the California Civil Code, which provides as follows: “A general release does not extend to claims which the creditor does not know or suspect to exist in his or her favor at the time of executing the release, which if known by him or her must have materially affected his or her settlement with the debtor.”

PDF Forms


Submittal options:

Fill out the Online form above.

Click and download the appropriate form, open in Adobe Reader, fill in, save it, and email it to us as an attachment.

Click and download the appropriate form, print it out, fill in, and mail or hand-deliver to our office.

Click and download the appropriate form, print it out, fill in, scan it in and email it to us as an attachment.

Click and download the appropriate form, print it out, fill in, and fax it to us.

PLEASE DO NOT INCLUDE CREDIT CARD INFORMATION IF EMAILING OR FAXING. IT WILL NOT BE PROCESSED.

Mission Trail Waste Systems
Attn: Billing Department
1060 Richard Ave.
Santa Clara, CA 95050
customerservice@missiontrail.com
Fax: 650-473-1300