Cass Bulk/Junk Removal

Cass Bulk/Junk Removal
Please complete the form to request CheckSammy Bulk/Junk Removal service tailored for Cass.
Cass Contact Details
First Name*
Last Name*
Email
Phone*
PO #
Location Details
Location Name*
Location Contact Name*
First Last
Email
Phone*
Location Address*
Street Address Address Line 2 City State ZIP Code
Notes/Comments Regarding Pickup
Please provide details about items to be picked-up and any location specifics.
Photos of Items for Pick-up
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.
Drop files here or
Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 4 MB, Max. files: 15.
SITE CONTACT & SERVICE ADDRESS
Are the Site Contact and Service Address same as the location address?
- Same as above
Name*
First Last
Phone*
Pickup Location*
Street Address Address Line 2 City State ZIP Code
Customer
Pickup Details
Requested Time*
- As soon as possible
- Other
Pickup Frequency*
Select Truck Load Size (NOT TO EXCEED)*
- Full Load (16 yds)
- Half Load (8yds)
- Minimum Fee (less than 4 yds)
- 2 Full Truck Loads (32 yds)
- 3 Full Truck Loads (48 yds)
- Remove All
Requested Pickup Date*
MM slash DD slash YYYY
Preferred Time Slot for Pickup
Billing Details
This request, once the job is complete, will send invoice to*
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. The property referenced above agrees to pay all invoices.
Email
This field is for validation purposes and should be left unchanged.

Cass Bulk/Junk Removal

Cass Bulk/Junk Removal

Please complete the form to request CheckSammy Bulk/Junk Removal service tailored for Cass.

Cass Contact Details

Location Details

SITE CONTACT & SERVICE ADDRESS

Pickup Details

Billing Details

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