Furniture Pick-Up Request Form
Large item pick-up is available on a case-by-case basis. After you complete this form, someone will contact you regarding a pick-up.
Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email Address
example@example.com
Address for Pick-up
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are there any stairs?
*
Yes
No
If yes, how many stairs?
*
If there are no stairs please insert 0.
Please describe the item(s) to be picked up:
*
Condition, quantity, dimensions, brand, etc...
Please upload photos of the items :
*
Upload a File
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of
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Should be Empty: