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Request a Scheduled Collection

2. First Name

3. Last Name

5. Address*

7. City

8. State

9. Zip

11. Email*

12. Phone*

14. Type of Collection*

    Check all that apply.

    1. Bulk (non-metal items)
    2. Metal (e.g. appliances, metal fencing)
    3. Large Branches
    4. Electronics
15. Please list the materials for pickup*

17. Tips for a Bulk Collections Pick Up
    <ul> <li>Group materials together and separate by type. Avoid mixing different material types.</li> <li>Materials must be easily accessible. Not blocked by vehicles.</li> <li>Avoid putting materials under power lines. Our trucks cannot pass underneath them.</li> </ul>

    • Group materials together and separate by type. Avoid mixing different material types.
    • Materials must be easily accessible. Not blocked by vehicles.
    • Avoid putting materials under power lines. Our trucks cannot pass underneath them.

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19. 1. Receive an email copy of this form.
20. Email address

    This field is not part of the form submission.

21. Submit

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