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BottleWorks Residential Pickup Request Form
Use this form to request a pickup from our BottleWorks team. Once submitted one of our BottleWorks staff will reach out to setup a date that works best.
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* Indicates required question
First and Last Name
*
Your answer
Email
*
Your answer
What neighborhood do you live in?
Your answer
Address (Include unit #)
*
Your answer
Postal Code
*
Your answer
Phone number
Your answer
Approximately how many bottles & or cans do you have?
*
Your answer
How did you hear about us?
I've had a Pick-Up Before
Web Search (Google/Bing/Yahoo)
Social Media (Facebook, Twitter, Instagram)
Flyer
Word Of Mouth
Saw the Truck/Team
News Story
Other:
Clear selection
To Schedule your pick-up, would you preffer we contact you by phone or email?
*
Phone
Email
Notes:
Your answer
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