Store Pickup Referral
Customer information
First name:
Last name:
Company name (if any):
Email:
Daytime phone:
Alternate:
Best time(s) to call (weekdays):
9-11 am
11 am-1 pm
1-3 pm
3-5 pm
5-7 pm
Any
What to pick up
List items to be picked up:
Truck space needed:
(select)
1/4 Truck
1/2 Truck
3/4 Truck
Full Truck
2 Trucks
Where to pick up
Street address:
City, state, zip code:
,
This location is a:
Residence
Business (with loading dock)
Business (without loading dock)
Storage unit
Other
Floor(s):
1st/ground
2nd
3rd
other
When to pick up
Preferred day(s):
Any
Unsure
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Preferred time(s):
Any
Unsure
9-11 am
11 am-1 pm
1-3 pm
3-5 pm
5-7 pm
Special instructions
Special instructions and notes, if any:
Do proceeds go to a charity?
No Yes
Select a charity:
--
American Cancer Society
DFW Wildlife Coalition
Fortress Youth Development Center
Granite
Metroport Rotary Club
Texas Rustlers Guinea Pig Rescue
Submitted by
Easysale location:
(select)
Addison
Arlington (DC)
Dallas
Plano
Southlake
CAM - Brenda
Employee name:
(select)
Baker, Danny
Barta, James
Boyle, Duncan
Gibbins, Greg
Hall, TJ
Jackson, Christi
Krajewski, Tim
Leal, Christiana
Mead, Crystal
Meredith, Denise
Obar, Lynsie
Tajzoy, Mary
Wentrcek, Tricia
Wheeler, Erika
Other
Email
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