Virgin Valley Disposal, Inc.
501 Riverside Road
Mesquite, NV.  89027
702-346-5396


AUTHORIZATION FOR CALL LIST

I hereby authorize Virgin Valley Disposal, Inc. to start screening my service call
list.

PLEASE ADD THE NAMES LISTED BELOW TO MY AUTHORIZED CALL LIST.

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* Remember the only people who can add or subtract from the list is the person who 
set up the account or those who are already on the list.  These changes will need 
to be made in person.

This authorization is to remain in full force and in effect until Virgin Valley 
Disposal, Inc. has received written notification from me to terminate this 
agreement. Virgin Valley Disposal, Inc. shall have a reasonable opportunity to 
act on the request to terminate.

MY NAME____________________________________________________________________

VIRGIN VALLEY DISPOSAL ACCOUNT #_______________________________________

TODAYS DATE_______________________________________________________________

SIGNATURE__________________________________________________________________


NOTES & COMMENTS___________________________________________________________________

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Official Use Only

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