Furniture Disposal & Pickup Order Form

Furniture Disposal & Pickup Order Form

Order furniture disposal and schedule your pickup. Please complete all sections and submit payment to confirm your service.
Customer Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Service Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Preferred Pickup Date*

MonthDayYear
Date
YesNo
Special Instructions (e.g., gate codes, parking info, or notes for the driver)

Select your couch type.

Chair

Disposal and pickup of a chair.

$99.00 Quantity

Single Couch

Disposal and pickup of a single couch.

$199.00 Quantity

Sectional Couch or Sofa Set

Disposal and pickup of a sectional couch or a sofa set.

$299.00 Quantity

Total

$0.00