TrashPro Client Order Form

Below is an order form to use for all requests from bulk pickups to ETA’s to billing questions.

Client Order Form

Property/Location Name*
Location/Delivery Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Contact*
First Last
Email*
Confirmation of order will be sent to this email address.
Enter Email Confirm Email
Phone*
Service Request*
Billing Address (if different from delivery address)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Roll Off Request*
Container Size*
Container Location*
Please be specific with building numbers, street addresses, landmarks, etc.
Repair/Damage Details*
Describe the damage or repair needed, location of the damage and attach photos below if available.
Disposal Description*
What will you be putting in the container? Please keep in mind that different waste types may have varying prices. Please do not mix waste types inside the container.
Service Complaint*
Please describe, in detail, your complaint or issue.
Bulk Pickup*
List the description and amount of items at each location throughout the property.
Quantity Item Description Location
Extra/On Call Pickup of Dumpsters*
Size, quantity and location of the dumpsters needing an extra/on call pickup. *Please keep in mind, there could be an additional charge for the extra pickup.
Size Quantity Location Waste Type (i.e. trash, recycle, cardboard)
Requested Service Date*
mm/dd/yyyy Scheduled date depends on availability. A confirmation will be sent with scheduled date. Keep in mind the date may not match the date you requested.
MM slash DD slash YYYY
Photos (optional)
Please attach any photos that are necessary or helpful in resolving the issue.
Drop files here or

Accepted file types: jpg, gif, png, pdf, mov, Max. file size: 20 MB.
Order*
Pick your option of King size mattress bags.
Quantity*
Quantity of Packs Ordered Above (i.e. "2" for 2 - 20 Packs)
Please enter a number from 1 to 100.
Specific Instructions*
i.e. Placement specifics, on site contact, time frame restrictions, gate code, etc.
Email
This field is for validation purposes and should be left unchanged.

If you need assistance by phone, please call our office at 215-302-2000 or by email at [email protected]

Quantity	Item Description	Location

Size	Quantity	Location	Waste Type (i.e. trash, recycle, cardboard)