Clutter B Gone Pickup Form
This form will collect basic information and details about your pickup. Once we receive your form we will message you via text.

• Step 1: Fill out form
• Step 2: Please take several pictures and/or video of items (walking around entire pile) you are wanting to get rid of  
• Step 3: Text them 801-448-7599 w/name and city

After we received your pictures we will provide you with a quote.
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First Name *
Last Name *
Email *
Phone *
Pickup Address *
City *
Do you have a mattress or boxsprings? Add Qty below.**note: disposal facilities charge a recycling fee per mattress & boxsprings. Our fee $20 per item. *
Does your load contain paint? *
Does your load contain tires? *
Does your load contain anything toxic? *
If answered yes above, please explain.
What items will Clutter B Gone be picking up? *
Where are the items being picked designated for *
Special pickup instructions
Gate code, location of items, bag count, etc.
Referred By/Promo
I agree to Opt-in to SMS messaging *
I have texted my photos and/or videos to 801-448-7599 with my name. I stated I filled out a form as well. I am now ready for a quote, and more so I’m ready to work with you amazing funny brilliant people!!! *
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