Please complete all the fields below and double check for accuracy before selecting the "Submit Form" button. If an email address is supplied, we will send you a confirmation via email at your request.
Contact Name:
Phone # :
Email Address:
^ Email address is required for us to properly inform you of any updates to your pickup request.
Pickup Address:
This pickup location is:
East of Rte. 53
West of Rte. 53
General Furniture Description:
^A volunteer will contact you within 5 business days to schedule your pickup date. Please be advised that we rely 100% on volunteers for our furniture pickups and your specific pickup date may be up to three (3) weeks from the date your request was submitted (all scheduling depends on amount of requests received).
Additional Comments:
^ Please include any special instructions in regard to your pickup that you'd like us to consider when scheduling your pickup. Please feel free to also include any questions or comments in which you'd like us to consider. Want to be added to our mailing list? Let us know in the comments section.
By selecting the "Submit Pickup Request" button below, you acknowledge that you are sending information over the internet and agree NOT to place your request through our Pickup Phone Line in addition to this online form.
