WHO? Contact details: WHAT? Items for collection: WHEN? Pick-up date: WHERE? Pick-up location: STEP 1 Step 2 STEP 3 STEP 4 Contact Details: Name Business Name (if applicable) Email Phone Billing Address Apt or Unit #: City: State: Zip Code: Items for collection: Check all that apply Electronics (E-waste) Appliances Bicycles Carpeting & Rugs Renovation Waste Furniture Hot Tubs & Jacuzzis Mattresses & Box Springs Refrigerators & Freezers Scrap Metals Televisions Tires & Rubber Household Trash Yard Waste Garbage & Refuse General Rubbish Glass Exercise Equipment Pool Tables Pianos Junk Photos (optional) Upload photos Choose a file Pick-up date: Pick Up Date: Pick-up location: Same as billing address? Yes No (fill below) Address: Apt or Unit #: City: State: Zip Code: Special Instructions Any special instructions? SHOW SUMMARY Some required Fields are emptyPlease check the highlighted fields. Submit Previous Step Next Step
