Junk Removal Request Form

1
What do you need removed?* This field is required.
Mattresses
Box Springs & Bed Bases
Dressers & Storage
Recliner
Bag of Trash
Couch & Loveseat
Other
2
Mattresses* This field is required.Select the type and quantity.
Select Quantity
Queen
1
2
3
4
5
6
7
8
9
10
Row 0, Column 0
King / Cal King
1
2
3
4
5
6
7
8
9
10
Row 1, Column 0
Full
1
2
3
4
5
6
7
8
9
10
Row 2, Column 0
Twin
1
2
3
4
5
6
7
8
9
10
Row 3, Column 0
Topper
1
2
3
4
5
6
7
8
9
10
Row 4, Column 0
Crib
1
2
3
4
5
6
7
8
9
10
Row 5, Column 0
Queen
King / Cal King
Full
Twin
Topper
Crib
Select Quantity
1
2
3
4
5
6
7
8
9
10
Row 0, Column 0
Select Quantity
1
2
3
4
5
6
7
8
9
10
Row 1, Column 0
Select Quantity
1
2
3
4
5
6
7
8
9
10
Row 2, Column 0
Select Quantity
1
2
3
4
5
6
7
8
9
10
Row 3, Column 0
Select Quantity
1
2
3
4
5
6
7
8
9
10
Row 4, Column 0
Select Quantity
1
2
3
4
5
6
7
8
9
10
Row 5, Column 0
1 of 6
3
Photos of your mattressesPlease upload photos of your mattresses.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
4
Total MattressesTotal amount for Mattresses
5
Box Springs & Bed Bases* This field is required.Select the type and quantity
Select Quantity
Box Spring - Twin
1
2
3
4
5
6
7
8
9
10
Row 0, Column 0
Box Spring - Queen
1
2
3
4
5
6
7
8
9
10
Row 1, Column 0
Box Spring - Full
1
2
3
4
5
6
7
8
9
10
Row 2, Column 0
Box Spring - King/Cal King
1
2
3
4
5
6
7
8
9
10
Row 3, Column 0
Adjustable Bed Base - Twin
1
2
3
4
5
6
7
8
9
10
Row 4, Column 0
Adjustable Bed Base - Queen
1
2
3
4
5
6
7
8
9
10
Row 5, Column 0
Adjustable Bed Base - Full
1
2
3
4
5
6
7
8
9
10
Row 6, Column 0
Adjustable Bed Base - King/Cal King
1
2
3
4
5
6
7
8
9
10
Row 7, Column 0
Box Spring - Twin
Box Spring - Queen
Box Spring - Full
Box Spring - King/Cal King
Adjustable Bed Base - Twin
Adjustable Bed Base - Queen
Adjustable Bed Base - Full
Adjustable Bed Base - King/Cal King
Select Quantity
1
2
3
4
5
6
7
8
9
10
Row 0, Column 0
Select Quantity
1
2
3
4
5
6
7
8
9
10
Row 1, Column 0
Select Quantity
1
2
3
4
5
6
7
8
9
10
Row 2, Column 0
Select Quantity
1
2
3
4
5
6
7
8
9
10
Row 3, Column 0
Select Quantity
1
2
3
4
5
6
7
8
9
10
Row 4, Column 0
Select Quantity
1
2
3
4
5
6
7
8
9
10
Row 5, Column 0
Select Quantity
1
2
3
4
5
6
7
8
9
10
Row 6, Column 0
Select Quantity
1
2
3
4
5
6
7
8
9
10
Row 7, Column 0
1 of 8
6
Photos of your box springs & bed basesPlease upload photos of your box springs & bed bases.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
7
Total Box Springs & Bed BasesTotal amount for Box Springs & Bed Bases
8
Dressers & Storage* This field is required.Select Quantity
Select Quantity
Nightstand
1
2
3
4
5
6
7
8
9
10
Row 0, Column 0
Vertical Chest of Drawers
1
2
3
4
5
6
7
8
9
10
Row 1, Column 0
Horizontal Chest of Drawers
1
2
3
4
5
6
7
8
9
10
Row 2, Column 0
Gentleman's Chest
1
2
3
4
5
6
7
8
9
10
Row 3, Column 0
Lingerie Chest
1
2
3
4
5
6
7
8
9
10
Row 4, Column 0
Combo Dresser
1
2
3
4
5
6
7
8
9
10
Row 5, Column 0
Mirror - Dresser
1
2
3
4
5
6
7
8
9
10
Row 6, Column 0
Horizontal Dresser
1
2
3
4
5
6
7
8
9
10
Row 7, Column 0
Double Dresser
1
2
3
4
5
6
7
8
9
10
Row 8, Column 0
Vertical Dresser
1
2
3
4
5
6
7
8
9
10
Row 9, Column 0
Nightstand
Vertical Chest of Drawers
Horizontal Chest of Drawers
Gentleman's Chest
Lingerie Chest
Combo Dresser
Mirror - Dresser
Horizontal Dresser
Double Dresser
Vertical Dresser
Select Quantity
1
2
3
4
5
6
7
8
9
10
Row 0, Column 0
Select Quantity
1
2
3
4
5
6
7
8
9
10
Row 1, Column 0
Select Quantity
1
2
3
4
5
6
7
8
9
10
Row 2, Column 0
Select Quantity
1
2
3
4
5
6
7
8
9
10
Row 3, Column 0
Select Quantity
1
2
3
4
5
6
7
8
9
10
Row 4, Column 0
Select Quantity
1
2
3
4
5
6
7
8
9
10
Row 5, Column 0
Select Quantity
1
2
3
4
5
6
7
8
9
10
Row 6, Column 0
Select Quantity
1
2
3
4
5
6
7
8
9
10
Row 7, Column 0
Select Quantity
1
2
3
4
5
6
7
8
9
10
Row 8, Column 0
Select Quantity
1
2
3
4
5
6
7
8
9
10
Row 9, Column 0
1 of 10
9
Photos of your dressers & storageTo ensure full transparency, please upload a photo or your Dressers & Storage. but its okay if you don't have them.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
10
Total Dresser & StorageTotal amount for Dresser & Storage
11
Recliner* This field is required.Recliner
Select Quantity
Recliner
1
2
3
4
5
6
7
8
9
10
Row 0, Column 0
Recliner
Select Quantity
1
2
3
4
5
6
7
8
9
10
Row 0, Column 0
12
Photos of Recliner please upload photos of recliner you want to be removed
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
13
Total ReclinersTotal amount of Recliners
14
Bag of Trash * This field is required.Bag of Trash or Bag of Junk, Standard contractor size or smaller bag or big . Garbage bag or any bag that doesn't contain electronic , hazardous item or rocks.
Select Quantity
Bag of Trash
1
2
3
4
5
6
7
8
9
10
Row 0, Column 0
Bag of Trash
Select Quantity
1
2
3
4
5
6
7
8
9
10
Row 0, Column 0
15
Photos of Bag of TrashTo ensure full transparency, please upload a photo. but its okay if you don't have them.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
16
Total Bag of TrashTotal Amount Bag of Trash
17
Type of Couch & Loveseat* This field is required.Select the type and quantity
Select Quantity
Couch / Loveseat
1
2
3
4
5
6
7
8
9
10
Row 0, Column 0
Sleeper Sofa
1
2
3
4
5
6
7
8
9
10
Row 1, Column 0
Reclining Sofa
1
2
3
4
5
6
7
8
9
10
Row 2, Column 0
Loveseat - Reclining
1
2
3
4
5
6
7
8
9
10
Row 3, Column 0
Futon
1
2
3
4
5
6
7
8
9
10
Row 4, Column 0
Sectional - with built in Recliner
1
2
3
4
5
6
7
8
9
10
Row 5, Column 0
Sectional - with built in Sleeper
1
2
3
4
5
6
7
8
9
10
Row 6, Column 0
Sectional Sofa - 2 pieces
1
2
3
4
5
6
7
8
9
10
Row 7, Column 0
Sectional Sofa - 3 pieces
1
2
3
4
5
6
7
8
9
10
Row 8, Column 0
Sectional Sofa - 4 pieces
1
2
3
4
5
6
7
8
9
10
Row 9, Column 0
Sectional Sofa - 5 pieces
1
2
3
4
5
6
7
8
9
10
Row 10, Column 0
Sectional Sofa - 6+ pieces
1
2
3
4
5
6
7
8
9
10
Row 11, Column 0
Couch / Loveseat
Sleeper Sofa
Reclining Sofa
Loveseat - Reclining
Futon
Sectional - with built in Recliner
Sectional - with built in Sleeper
Sectional Sofa - 2 pieces
Sectional Sofa - 3 pieces
Sectional Sofa - 4 pieces
Sectional Sofa - 5 pieces
Sectional Sofa - 6+ pieces
Select Quantity
1
2
3
4
5
6
7
8
9
10
Row 0, Column 0
Select Quantity
1
2
3
4
5
6
7
8
9
10
Row 1, Column 0
Select Quantity
1
2
3
4
5
6
7
8
9
10
Row 2, Column 0
Select Quantity
1
2
3
4
5
6
7
8
9
10
Row 3, Column 0
Select Quantity
1
2
3
4
5
6
7
8
9
10
Row 4, Column 0
Select Quantity
1
2
3
4
5
6
7
8
9
10
Row 5, Column 0
Select Quantity
1
2
3
4
5
6
7
8
9
10
Row 6, Column 0
Select Quantity
1
2
3
4
5
6
7
8
9
10
Row 7, Column 0
Select Quantity
1
2
3
4
5
6
7
8
9
10
Row 8, Column 0
Select Quantity
1
2
3
4
5
6
7
8
9
10
Row 9, Column 0
Select Quantity
1
2
3
4
5
6
7
8
9
10
Row 10, Column 0
Select Quantity
1
2
3
4
5
6
7
8
9
10
Row 11, Column 0
1 of 12
18
Photo of Couch & LoveseatPlease upload photos of your Couch & Loveseat
19
Total Couch & LoveseatTotal amount for Couch & Loveseat
20
Your estimateThere is a $50 service fee charged now for booking and can only be refunded if client cancels within 24 hours after booking. Your item total is an estimate, settled with the crew after the job is completed.
21
Pickup Address* This field is required.Enter the full pickup address, including unit number and Zip Code— we serve the Pittsburgh area and nearby PA, OH, WV, and MD.
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
22
Select Pickup date and time* This field is required.
23
Your details* This field is required.
Full Name
Please enter your email
Please enter your phone
24
Before you book* This field is required.This fee covers booking window, transport and loading. Your item total is settled with the crew after the job is completed.
I understand that a $50 service fee is charged now at booking and can only be refunded if clients cancel within 24 hours before the job being completed.
25
Pickup readiness / safety* This field is required.
I confirm there are no hazardous materials, and that any appliances, tanks, or fuel-powered items will be disconnected, emptied, and ready for pickup.
26
Pay and secure booking* This field is required.
prevnext( X )
My Bag
1
My Bag
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Total costUSD
Service Fee (for booking and securing pickup)
Refundable Service fee for booking and securing pickup. This service fee can only be refunded if client cancels within 24 hours after booking.
Edit
Back
Total cost
Payment Methods
Credit Card
First Name
Last Name
Cash App
After submitting the form, you will be redirected to the Cash App Pay to complete the payment process.
Google Pay
After submitting the form, you will be redirected to the Google Pay to complete the payment process.
Apple Pay
After submitting the form, you will be redirected to the Apple Pay to complete the payment.
ACH Bank Transfer
Account Holder Name
Should be Empty: