Costco On-Demand Junk Removal

Please complete the form to request CS OnDemand Junk Removal for a Costco location.
Customer Support Representative Who Is Placing Order*
First Last
Customer Support Rep Email*
Customer Support Phone Number*
Location Details & Service Required
The Service Required is*
Location Name*
Costco Location Address
Street Address Address Line 2 City State ZIP Code
Please Specify Unit Number for Service
Number of Bedrooms
- One (1)
- Two (2)
- Three ()
Approximate Sq. Ft. of Unit
Special Requirements
Does your state have any specific staffing requirements for evictions or trashouts - if yes please provide details
Location Contact & Pickup Request
Location Contact Name*
First Last
Location Contact Phone (mobile or landline)*
Location Contact Email*
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
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.
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.
Comments
This field is for validation purposes and should be left unchanged.

Costco On-Demand Junk Removal

Please complete the form to request CS OnDemand Junk Removal for a Costco location.

Location Details & Service Required

Location Contact & Pickup Request

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