Pickup Request Form – Free Local Appliance Pickup

Request Free Appliance Pickup

Please fill out every section to ensure we can serve you as soon as possible. If there are any additional details you would like to provide please include those in the message section of the form. Thank you!

Appliance Pickup Request

Name

First

Last

Phone

Do you need more than one appliance picked up today?

Yes

What type of appliances do you need to be picked up today?

Pickup Address

State

Zip Code

Service Area - AZ

Service Area - AL

Service Area - AK

Service Area - CA

Service Area - CO

Service Area - FL

Service Area - GA

Service Area - HI

Service Area - IA

Service Area - IL

Service Area - IN

Service Area - KS

Service Area - KY

Service Area - LA

Service Area - MD

Service Area - MA

Service Area - MI

Service Area - MN

Service Area - MO

Service Area - NC

Service Area - NE

Service Area - NJ

Service Area - NM

Service Area - NV

Service Area - NY

Service Area - OH

Service Area - OK

Service Area - PA

Service Area - SC

Service Area - TN

Service Area - TX

Service Area - UT

Service Area - VA

Service Area - WA

Service Area - WI

Upload a photo of your appliances that need to be picked up. (Optional but recommended.)

Maximum file size: 8.39MB

Message (Optional)

If you are human, leave this field blank.