Appliance/Electronic Pickup Request Form

2. Appliance/Electronic Pickup Request Form
   The Town of Fuquay-Varina picks up appliances for a $10 pre-paid fee for each appliance. The Town also picks up electronics for a $10 per visit fee. Pickup MUST be scheduled and paid for by Friday at 5 pm at the Finance Office located at 401 Old Honeycutt Road. Pick-up is on Monday unless otherwise noted. Please place appliances/electronics curbside after 7 p.m. on Sunday evening to ensure pickup.

   The Town of Fuquay-Varina picks up appliances for a $10 pre-paid fee for each appliance. The Town also picks up electronics for a $10 per visit fee. Pickup MUST be scheduled and paid for by Friday at 5 pm at the Finance Office located at 401 Old Honeycutt Road. Pick-up is on Monday unless otherwise noted. Please place appliances/electronics curbside after 7 p.m. on Sunday evening to ensure pickup.

4. Date
   Date

5. Phone

6. Name

8. Street Address of Pickup

9. Number of Appliances for Pickup

11. Type of Appliance(s)/Electronics for Pickup

13. Please note: If coming through the drive-thru window where water bill payments are taken, please have form already filled out and payment ready for receiving. Thank you.

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14. 1. Receive an email copy of this form.
15. Email address

    This field is not part of the form submission.

16. Submit

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