Serving the Pacific Northwest
To request a pickup, call (206) 293-1615 or complete the form below and a representative will contact you to shortly.
CONTACT INFORMATION
Company
Name
Telephone i.e. (206) 555-1212
Email
Address
City State Zip
PICKUP INFORMATION
Date Requesting Pickup i.e. Monday, January 31, 2005
Time Requesting Pickup i.e. 10:00 AM
Address Pickup: If address is "same as above", check box.
City
Location of Pickup i.e. backyard, attic, 3 floor, etc
Items to Pickup
Comments/Special Instructions
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