AvalonBay Please complete the form to request CS OnDemand Junk Removal for a AvalonBay Site.Should your municipal landfill charge for each individual mattress there will be an additional charge on your final bill for $15 per mattressCustomer Support Representative Who Is Placing Order* First Last Customer Support Rep Email* Customer Support Phone Number*Site & Bulk Pick-up InformationClient Name (company)* Site Name (property/community)* Site Contact* First Last Site Contact Phone (mobile or landline)*Site Contact Email* Purchase Order # (PO)* Requested Pickup Date* MM slash DD slash YYYY Requested Pickup Time*Arrival will be within 2 hours of time selected : HH MM AM PM AM/PM List of Bulk items & LocationPlease provide details about bulk items to be picked-up and any location specifics Photos of Items for Pick-upDrop files here or Select filesAccepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 4 MB, Max. files: 15. Please provide photos of items to be picked up - the better the visual details of what is to be picked up - the more efficient we can be.Site Contact & Service AddressName* First Last Phone*Pickup Location* Street Address Address Line 2 City State *AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Billing DetailsThis request, once the job is complete, will be invoiced to*AvalonBayThe ClientClient Name* Address* Street Address Address Line 2 City State *AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Client Billing Email* Client Phone*By clicking submit, I hereby certify that I am an authorized representative for the referenced property for which I am submitting this work order (the “Property”). I have the authority to submit this work order on behalf of the Property, including but not limited to authorization to order the scope of work to be performed under the work order, and (ii) ensure payment for this work. I agree to pay all invoices in full within 30-days.
