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Work Order Request Form
Step 1 of 2 - Buyer and Seller Information
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Buyer or Seller
*
Buyer
Seller
Please specify whether you are the buyer or seller.
Your Information
Your Name
*
First
Last
Your Address
*
Street Address
Address Line 2
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Your Phone Number
*
Email Address
*
Other Party's Contact Information
Please provide at least one of the other party's phone number, email address, or physical address.
Their Phone Number
Their Email Address
Their Address
Street Address
Address Line 2
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Item information
Cost of Item(s)
*
Enter the price in US dollars agreed upon in exchange for the item(s) being picked-up and delivered.
Select Vehicle Type
*
Car ($9.00)
SUV ($12.00)
Truck ($16.00)
Please specify the smallest vehicle that would be required to transport your item(s).
Estimated Shipping Cost
Price:
$0.00
*THE ESTIMATED SHIPPING COST DOES NOT INCLUDE THE MILEAGE FEE OF $.90/MILE
Online Marketplace/Classifieds
*
Please indicate where you bought or sold the item.
Facebook Marketplace
LetGo
OfferUp
Craigslist
eBay Classifieds
Description of Item(s)
*
Please describe the type of item(s) being picked-up and delivered (e.g., what the item is, color, material, dimensions, weight, etc.).
Promotional Code
Phone
This field is for validation purposes and should be left unchanged.