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:

Where to pick up

Street address:

City, state, zip code: ,

This location is a:

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:

Submitted by

Easysale location:

Employee name:

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easy value appraisal

Just tell us what you might like to sell. We'll let you know if Easysale could sell it for you, and what it may be worth on eBay! (DFW residents only.)