Box Pick-up Request – City Scrap & Salvage

What would you like us to do? (check all that apply)

How many luggers or roll offs?

one

two

three

four

Do we need to call to gain access?

Yes

No

Box number *

What material is in the box to be picked-up? *

Name (first and last required) *

Company Name (required) *

Email (required) *

Phone *

address 1 *

address 2

City, State Zip code *

Please provide any other information you believe should be considered.

Email