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.

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Certification
Metal Pickup Items
Begin typing Address and select from the populated drop-down *
First Name *
The fee for this application fee is:
Applicant Details
Email *
Application Fee
Address 2
ZIP *
Signature *
Terms Agreement
By signing below, I the owner certify that all of 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 Number *
Next Steps
Address *
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
City *
State *