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Clutter B Gone Pickup Form
This form will collect basic information and details about your pickup. Once we receive your form we will message you via text.
• Step 1: Fill out form
• Step 2: Please take several pictures and/or video of items (walking around entire pile) you are wanting to get rid of
• Step 3: Text them 801-448-7599 w/name and city
After we received your pictures we will provide you with a quote.
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* Indicates required question
First Name
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Your answer
Last Name
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Your answer
Email
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Your answer
Phone
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Your answer
Pickup Address
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Your answer
City
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Your answer
Do you have a mattress or boxsprings? Add Qty below.**note: disposal facilities charge a recycling fee per mattress & boxsprings. Our fee $20 per item.
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Your answer
Does your load contain paint?
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Yes
No
Does your load contain tires?
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Yes
No
Does your load contain anything toxic?
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Yes
No
If answered yes above, please explain.
Your answer
What items will Clutter B Gone be picking up?
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Your answer
Where are the items being picked designated for
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Dump
Donation
Special pickup instructions
Gate code, location of items, bag count, etc.
Your answer
Referred By/Promo
Your answer
I agree to Opt-in to SMS messaging
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Yes
No
I have texted my photos and/or videos to 801-448-7599 with my name. I stated I filled out a form as well. I am now ready for a quote, and more so I’m ready to work with you amazing funny brilliant people!!!
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Yes
No
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