Waste Management Request

Waste Management Request
Please complete the form to request CheckSammy OnDemand Junk & Bulk Removal Service
Waste Management Contact Placing Order*
First Last
Email*
Phone*
Community Details
Location ID*
Billing Reference*
Work Order #
Property Management Company*
Property Mgmt - Other*
Community Name*
Community Contact Name*
First Last
Email*
Mobile Phone*
Community Address*
Street Address Address Line 2 City State ZIP Code
Pickup Details
(Same day service available for orders received before 12pm EST)
Requested Pickup Date*
MM slash DD slash YYYY
Requested Pickup Time*
Arrival will be within 3 hours of time selected
Select Truck Load Size (NOT TO EXCEED)*
- Min Charge - $175 (<4 cu. yds.)
- 1/2 Truck Load - $255 (8 cu. yds.)
- 1 Full Truck Load - $415 (16 cu. yds.)
- 1.5 Full Truck Loads - $622.50 (24 cu. yds.)
- 2 Full Truck Loads - $830 (32 cu. yds.)
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, Max. file size: 50 MB, Max. files: 10.
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.
Phone
This field is for validation purposes and should be left unchanged.

Waste Management Request

Waste Management Request

Community Details

Pickup Details

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