EHC Junk Removal Booking form

1

Before proceeding to Book, please be aware that we only use Cashapp, Zelle or Western Union for billing purposes. You can add your debit/credit card to your Cashapp too.

Once we get your Booking, we will then invoice your Cashapp or Zelle for you to approve it and pay it.
2
Type your City or Zipcode so we can verify we provide service there...* This field is required.
3
Congrats! We do provide service in your area! Click "Next" below to proceed to book Junk Removal & Haul off...
4
How many Junk loads do you want?* This field is required.$497 each load
Please Select
Please Select
1 load ( $497)
2 loads ( $994)
3 loads ( $1491)
4 loads ( $1988)
5 loads ( $2485)
6 loads ( $2982)
7 loads ( $3479)
8 loads ( $3976)
9 loads ( $4473)
10 loads ( $4970)
11 loads ( $5467)
12 loads ( $5964)
13 loads ( $6461)
14 loads ( $6958)
15 loads ( $7455)
5
What type of items would we be Hauling away?* This field is required.
6
Attach photos if you want ( optional )
Drag and drop files here
Select files to upload
Cancelof
7
Do you need labor help to bag junk/trash?* This field is required.
Please Select
Please Select
Yes - Add 2 man hours $178
Yes - Add 4 man hours $396
No thanks
8
Any notes you would like add?optional
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Ok
Ok
9
Billing Method?* This field is required.
Please Select
Please Select
CashApp
Zelle
Western Union
10
Billing Method username?* This field is required.type your CashApp tag or Zelle phone or email below for us to bill
11
Date of Service?* This field is required.Pick a date at least 3 days out
Date
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Day
12
Your Name* This field is required.
First Name
Last Name
13
Your Address* This field is required.
Street Address
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14
Email
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15
Your Phone Number* This field is required.
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