Make a Paymentadmin2021-10-13T15:06:49-04:00 Make a Payment Make a Payment Payment Amount * Account Name * CUST ID (not required) Job Site ID or Invoice # * Event Date (if any) Contact Number * Email * Billing Address Name on Card * Name on Card First First Last Last Company Name Billing Address *Must Match Billing Address for Card Holder * Billing Address *Must Match Billing Address for Card Holder Street Address Street Address Building/Suite/Apartment # Building/Suite/Apartment # City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Total Credit Card * Credit Card Credit Card Credit Card Month 123456789101112 Credit Card Year 20262027202820292030203120322033203420352036 Credit Card Terms & Conditions Service Terms & Payment Agreement By submitting payment, you agree to the applicable terms below based on your service. 🚽 Portable Restroom Rental – Key Terms Payment & Billing First month due before delivery Ongoing rentals billed every 28 days Event rentals paid in full at booking Late fee: 1.5% monthly 30+ days past due: service interruption 60+ days past due: unit removal Delivery & Placement Delivery typically within 48 hours (Mon–Fri) Must provide clear placement instructions Units must be within 20 ft of truck access Do not move units without approval Service & Access Weekly service included Units must be accessible on service day Missed service due to no access = no refund + return fee Responsibility & Fees Customer responsible for damage, theft, or misuse Hazardous cleanup fee: $125+ Replacement costs apply if unit is destroyed Cancellations Changes must be in writing Late cancellations may incur fees or no refund General No service on holidays Weather/ground conditions may delay service Customer responsible for permits and site conditions 🚛 Septic & Pumping – Key Terms Payment Payment required to schedule and complete service Scope & Liability Not responsible for pre-existing system issues Liability limited to cost of service performed Work Conditions Customer must provide: Access to tank/site Utilities if needed Additional charges may apply for: Digging Difficult access Unforeseen conditions Property & Damage Not responsible for damage to: Landscaping Driveways or hard surfaces Surface matching after repairs not guaranteed Scheduling Work hours: Mon–Fri, 8 AM–4 PM Delays may occur due to weather, materials, or site conditions Payment Enforcement Client is responsible for collection costs & legal fees Unpaid balances may result in removal of installed materials ✅ Acknowledgment By submitting payment, you confirm that you: Agree to these service terms Accept responsibility for charges and site conditions Agreement * I have read and agree to the following Rental Terms and Conditions: By placing this order, Customer agrees to the following: • Payment is due as specified at the time of booking. Event rentals must be paid in full before delivery. Deposits are non-refundable. • Delivery and pickup dates are estimates and may be affected by weather, traffic, equipment breakdowns, holidays, or other circumstances beyond our control. • Units must remain in the original delivery location and may not be moved by Customer. Units must be placed within 20 feet of a stable hard surface and accessible by service truck. Street placement is prohibited. • Customer is responsible for providing unobstructed access for delivery, service, and pickup. If access is blocked or unavailable, additional service fees may apply. • Customer is responsible for obtaining any permits or approvals required by an HOA, municipality, park, or property owner. • Customer assumes responsibility for any rutting, lawn damage, driveway damage, or ground disturbance resulting from placement or access through grass, dirt, gravel, fields, or other unpaved areas requested by Customer. • All equipment remains the property of Johnny Blue Inc. Customer is responsible for loss, theft, vandalism, fire, misuse, or damage while equipment is on site. Replacement charges may apply. • A minimum $125 hazardous waste cleanup fee applies for blood, vomit, or unauthorized materials left in the unit. • Monthly rentals are billed on a 28-day cycle. Late balances are subject to a 1.5% monthly late fee. Service may be suspended for past-due accounts. • Changes, cancellations, special services, tipped units, inaccessible units, return trips, and failed service attempts may result in additional charges. Refund requests must be submitted within 30 days of service completion. By submitting this order, Customer acknowledges that use of the equipment is at Customer's risk and agrees to indemnify and hold harmless Johnny Blue Inc. and Executive Bathrooms Plus LLC from claims arising from Customer's use, possession, or placement of the equipment, except where caused solely by the negligence of Johnny Blue Inc. Signature * signature keyboard Clear Date * Please allow the payment to complete processing. Selecting the submit button twice can result in duplicate payments. Captcha Submit If you are human, leave this field blank.
