Bulky Item Collection Form

Bulky Collection Pilot Project

Bulky Collection Pilot Project

Date:
Name:
Phone Number:
Email:
Address 1:
Address 2:
City
Province
Postal
Country
Item(s) Location:
Select Item Catagory
Drop a file here or click to upload Choose File
Maximum upload size: 516MB
Select Item Catagory
Drop a file here or click to upload Choose File
Maximum upload size: 516MB
Select Item Catagory
Drop a file here or click to upload Choose File
Maximum upload size: 516MB
Upload pictures here:
Add additional Notes Here: