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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 134 N. Main Street. 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
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15. 1. Receive an email copy of this form.
16. Email address

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17. Submit

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