Type Full Name :
Sign With Hand
Last Name
Organization Name
You will be contacted when a date and time for your Metal Pickup is scheduled. Please note that payment must be made in full prior to the scheduled date.
Add a description and the quantity for each item you are requesting. Limit six (6).

ALL ITEMS MUST CONTAIN A MINIMUM OF 70% METAL.

Certification
Metal Pickup Items
Begin typing Address and select from the populated drop-down.
First Name
The fee for this application fee is:
{[CNAME]}
Applicant Information
Email
Application Fee
Address 2
ZIP
Signature
Terms Agreement
Is this a corner property?
By signing below, I the owner certify that all the information provided in this application is true and accurate.
By selecting "Yes", I understand that metal pickup cannot contain electronics, hazardous waste, construction material, or items not consisting of 70% metal.
Agree to Terms
{[PNAME]}
Phone #
Next Steps
Corner Property Side Street and Driveway Location
Address
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
City
State