Authorization Form

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					Letter of Authorization (on your letterhead)
(To your Waste or Recycling Company)
  _________________________
  _________________________
  _________________________
  _________________________
The undersign hereby appoints American Trash Management, Inc. to act as its representative in
all matters related to waste disposal and recycling. You are hereby authorized to share with
ATM all information related to waste disposal and recycling, including rates, tonnage, service
levels and copies of invoices, and to take direction from them in the scheduling and cancellation
of waste and recycling services for all the location(s) listed below.

  All Locations.




Authorization is strictly limited to the representations as outlined above and shall remain in
full force and effect from the date written below until such time as American Trash Management,
Inc. has completed its work or upon written or oral notification from the undersign that
American Trash Management, Inc. has ceased to represent the undersign.

We appreciate you cooperation with ATM. Please contact us if you have any questions.

EXECUTED the ____ day of ______________, ______.

___________________________________________
Title
___________________________________________
 Address
___________________________________________

____________________________________________
Signature

				
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