Cass On-Demand Junk Removal - CheckSammy

A Sustainability Company

Please complete the form to request CS OnDemand Junk Removal for a Cass Site.
Should your municipal landfill charge for each individual mattress there will be an additional charge on your final bill for $15 per mattress
Customer Support Representative Who Is Placing Order*
First Last
Customer Support Rep Email*
Customer Support Phone Number*
Site & Bulk Pick-up Information
Client 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
List of Bulk items & Location
Please provide details about bulk items to be picked-up and any location specifics
Photos of Items for Pick-up
Drop files here or

Accepted 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 Address
Name*
First Last
Phone*
Pickup Location*
Street Address Address Line 2 City State ZIP Code
Billing Details
This request, once the job is complete, will be invoiced to*
Client Name*
Address*
Street Address Address Line 2 City State ZIP Code
Client Billing Email*
Client Phone*