Name * First Name Last Name Phone Number * (###) ### #### Email Address * Pickup Address * City * State * Zip Code * Preferred Pickup Date * MM DD YYYY Preferred Pickup Time * Hour Minute Second AM PM Notes * I agree to the Terms & Agreement Disclaimer: All junk must be placed curbside or in an open, easy-access area such as a garage or driveway. NO in-home pickups. Payment Note: Quotes will be provided; payment is due prior to or at pickup via Cash App, Zelle, or card. Thank you! Your submission has been received.