Request for a Special Pick-Up
     
 

Select one: Business or Residence

 
* In order to serve you effectively via the web, these fields must be filled out.
 
Address *
Account Number
Phone Number *
Name *
Email
 
 
What date would you like a special pick-up?
 
Type of Special Pick-up
 
Yard Debris Subscription
   
Appliance—type and size
Quantity
 
Mattress—size
Quantity
 
Furniture—type and size
Quantity
 
Carpet
Size
 
Large scrap metal
Size
 
Tires—size
Quantity
 
Medical sharps (needles, etc.,) in container
 
Yard debris over 4'x3'x4'
Size
 
Other—description
Quantity
 
Comments
 
When you have completed your request, submit your order. Our office staff will contact you shortly. Thank you for your business.