Scrap Metal Pick-up Request Form
Please allow AT LEAST 2 WORKING DAYS for service
Company Name:
Contact Name:
Address:
City: State: Zip Code:
Phone Number: Extension:
Days of Operation:
Hours of Service:
Select all that apply:
Wait For
Switch
Remove
Place
Roll Off
Trailer
Other:
Location of Box:

Any other instructions:

PLEASE, do not load container(s) higher than the sides.
We do not accept trash. If TRASH is found in the container, there will be a CHARGE.

Can we help you with any other materials?
Whom should we contact?

Descriptions:

Roll Off = metal rollers on the bottom
Trailer = rubber tires

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