Large and Bulky Tags

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Name
First
Email
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone Number*
Large and Bulky Tags
Number of Small Items - Chair, kitchen chair, end table, TV stand, small bundled wood (3’ X 3’), Carpet - $10 each*
Please list the small items that will be picked up*
Number of Large Items - Couch, chair, desk, mattress, box spring, toilets, tanks - $15 each*
Please list the Large items that will be picked up*
Number of Non-Freon Items - Stove, dishwasher, washer, dryer, microwave, humidifier, barbecue - $27.30*
Please list the non-Freon items that will be picked up*
Number of Freon Items - Fridge, Freezer, air-conditioner, water cooler, dehumidifier - $37.80*
Please list the Freon items that will be picked up*
Total
$ 0.00 CAD
Billing Address
My billing address is different than the one above
Billing Address*
Street Address Address Line 2 City Province Postal Code

Credit Card

Cardholder Name

Card Details

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