Junk Removal Service Request Form

Full Name

First NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email Address

example@example.com

Service Address (Twin Cities Metro Area)

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Preferred Service Date

Date

Preferred Time Window

Type of Junk

Estimated Volume/Load Size

Are items accessible from the curb?

Special Access Instructions or Notes

Additional Services Needed

How did you hear about us?

Insert Picture of Junk (Optional)

SMS Confirmation

Payments Accepted - Cash, Card, Check, Venmo, Cashapp, Apple Pay

Small Load

Up to 1/8 truck load

1–3 small items

Single-room pickup

Same-day available

$99.00 Quantity

Half Truck

Half-truck load

Multi-item pickup

Indoor & outdoor

Donation sorting included

Same-day available

$299.00 Quantity

Full Truck

Full truck load

Whole home or office

Estate & hoarding cleanouts

Recycle & donate sorting

Priority scheduling

$499.00 Quantity

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

Signature

Junk Removal Service Request Form

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Payment Methods