Service / Pick-Up Request

Please fill out the form below if your container is in need of a pick-up. Please allow one business day to process this request. For immediate assistance, please call our office during our hours of operation. Thank you.

*Required Fields

Account Number

Name*

Business*

Address*

City, State*

Phone Number

Email*

Best Time to Reach You:
AMPM

Service Type:
Extra Pick-UpRemove ContainerNo Pick-UpEarly Pick-UpDump & ReturnHand / Bulky Item Pick-Up

Comments

*Required Fields

Privacy Statement
for data collected via web forms and transmitted as e-mails

The data you have supplied in this form will be sent to an e-mail address within Pinard Waste Systems when you click on the submit button. Your information is stored solely for the processing of your request and will only be used for the purpose for which you submitted it.  Pinard Waste Systems will not sell or share personal data or use it for direct marketing purposes.  If you have any questions, please contact us at customerservice@pinardwaste.com.