Bulk Item pick up

REQUEST A BULK ITEM PICK UP

LET US KNOW HOW WE CAN SERVE YOU

Your Name *

Position

Phone Number *

Email Address *

Community Name *

State

Neighborhood *

Number of homes in the community *

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Number of homes in the community *

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Address of pool
(if no common area address in community).

Would the community like one bill paid by the HOA or individual billing of residents? *

One bill by the HOA Individual billing

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Would the community like one bill paid by the HOA or individual billing of residents?

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When would you like to begin this HOA contract program? *

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When would you like to begin this HOA contract program? *

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Who currently services the community?

Why are they looking for another hauler?

Full Name

Phone Number

Company Name

I acknowledge that the above information are true to the best of my knowledge