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First Name
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Company Name
Requested Service
Material Pickup
Bin Delivery/ Removal
Other
What material(s) will our team be dealing with?
Landfill Waste
Compost
Mixed Recycling
Cardboard
Confidential Paper
Metal
E-Waste
Tower Cartridges
Monitors
Light Bulbs
Batteries
Wood
Yard Waste
Hazardous Chemicals
Other
If you selected "other" please specify here:
Estimated Quantity
Address
Please detail the exact location on site for the service
Security Access Instructions
Please share onsite contact name
Share the onsite contact phone number
Select Your Preferred Service Date
Please provide any additiona details or relevant information we may not have asked for.
Please upload any relevant photos ( images of site where trash pickup/services are requested
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Please upload any other files (PDFs) that may be helpful - written instructions, access codes, etc.
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