2. BULK PICKUP STICKER APPLICATION
   $10.00 per item up to 3 items $5.00 twin mattress or twin box spring or other small items, i.e. nightstand, stools, etc.
4. First Name
5. Last Name
7. Pick Up Address
9. Address
11. City
12. State
13. Zip Code
15. Item Descriptions
    For Example: a queen sized mattress, a love seat, a couch, etc.
17. Amount to be Paid
19. Metal items, computer equipment and TVs, except for consoles, may be put out for pick up on Tuesday at no charge. Submit this form and bring payment to Borough Hall and drop in the black payment box. A sticker will be available at the table by address the next business day.
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21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

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