Contact Center - Service Request Form
 
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    Location
    Please enter the problem location as either an Address or Intersection. If it is an Intersection both Street and Cross Street are required.

 Address:
    Intersection:  
 Street
 Cross Street
    Description

     SWM0100 : SWM-Appliance to be Collected
  What type of appliance is it?  
   
   
       
     
     Have the appliance to the curb by 7am on your next collection day. Be sure it is empty and any doors are secured or removed. We will pickup these types of appliances: Air Conditioner, Dishwasher, Dryer, Freezer, Refrigerator, Stove/Oven, Washer, Water Heater.

    Contact Information
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 Name
    Address
    City/State/Zip    
Phone
    Email

    Addtional Comments
   Please include any other information you would like to give us concerning this request.