What is your name * 1st pick up choice (date) * Select Date
E-mail Address: * 2nd pick up choice (date) * Select Date
Phone number 3rd pick up choice (date) * Select Date
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    Contact preference * E-Mail
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How many mattresses or boxsprings do you need picked up * One Mattress - $20
One Mattress - One Box Spring - $30
Three Mattress / Box Spring - $40
Four or More Mattress / Box Spring - $50 (+$10 each additional)		  
Where are you located in San Diego (Santee, PB, Chula Vista) *  
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