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Request for Brush/White Goods pick up

  1. Please complete the online form below to submit your request.

  2. Please choose which of the following item(s) you would like picked up

  3. Please list any notes regarding the pick up. Ex: item is across from the address listed or item for pick up is located on the side street of my property. If item is not located at the street address provided above, please provide specific location.

  4. Leave This Blank:

  5. This field is not part of the form submission.