Sales Order SALES ORDER- OnDemand JUNK REMOVALCheckSammy Sales Rep* Sales Rep Email*[email protected][email protected][email protected][email protected]Name of Customer* First Last Clients Email Address* Clients Mobile Number*How did you hear about CheckSammy?*Google AdSearch EngineEmailWord of MouthFacebook PostInstagram PostNews ArticleOtherTell us the Junk Pickup DetailsThe Junk is at*A HouseA TownhouseA CondominiumA Mobile Home ParkA BusinessAn Empty LotA Construction SiteOther - Please DefineIf Other - Please tell us Where the Junk is The Junk is Located in*The GarageThe YardOn the DrivewayIn the HouseOther - Please defineAll of the Above or a Mix of AboveIf Other Please Tell us Where the Junk isThe Junk Is On*Ground LevelBasementSecond LevelThird LevelTwo LevelsMore Than Two LevelsIn the Building and in the Yard/ Outside AreaOtherRequested Pickup Date* MM slash DD slash YYYY Requested Pickup Time*Arrival will be within 2 hours of time selected : Hours Minutes AM PM AM/PM Tell us Where the Junk is Located (address)Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Collection and Junk DetailsList of Bulk items & Location*Please provide details about bulk items to be picked-up and any location specifics and if this involves removing things from different areas of the buildingPlease Select Heavy Items To Remove**items listed will be subject to additional charge for removalFridgeStoveWasher / DryerFreezerDishwasherOther AppliancesMattress / Box SpringPool TableBarbecueTrampolineHot TubOtherNone ListedWhat Other Heavy Items Need to be RemovedPhotos of Items for Pick-upPlease 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. (jpg, gif, png, pdf)Drop files here or Select filesAccepted file types: jpg, gif, png, heic, pdf, Max. file size: 50 MB, Max. files: 15. Amount to invoice the Customer*
