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Junk Removal Service with Payment Authorization

Complete both service agreement and payment authorization in one simple form.

Junk Removal Service - Pricing Guide

½ Load
$469 (0.75 tons)
¾ Load
$649 (1.125 tons)
Full Load
$799 (1.5 tons)
Final Pricing: Determined on-site based on actual volume
Extra Labor: $99/hour per 2-man crew (if needed)
Cancellation: 24hrs notice for full refund
Deposit: $50 to confirm appointment
Final pricing provided on-site before work begins. Additional charges may apply for special handling.

Customer Information

Credit Card Authorization

Secure payment authorization for your rental agreement

Card Information

Must match the address associated with the credit card.

Identity Verification

For transaction security, please upload a clear photo of your government-issued ID.

Agreement & Digital Signature

JUNK REMOVAL SERVICE & CREDIT CARD AUTHORIZATION AGREEMENT

Part 1: Junk Removal Service Terms

I, the Customer requesting service, agree to the following terms for junk removal services provided by Dirty Boyz Waste Solutions.

Pricing & Payments:
  1. Pricing based on volume (space in truck), labor, weight, and material type.
  2. Standard load pricing tiers:
    • ½ load: $469 – includes up to 1 hour of labor and 0.75 tons
    • ¾ load: $649 – includes up to 1.5 hours of labor and 1.125 tons
    • Full Load: $799 – includes up to 2 hours of labor and 1.5 tons
    • Smaller Pickups: Custom quoted based on item type, labor, and distance. Minimum charge applies.
  3. Additional charges (if applicable):
    • Extra labor: $99.00/hour per 2-man crew (beyond included time)
    • Overweight disposal: $120.00/ton over included weight (pro-rated)
    • Elevator/stair carry: $49.00
    • Disassembly/powertool usage: $49.00 starting
    • After-hours scheduling: 20% surcharge
  4. Cancellation & job site charges:
    • Same-day cancellation within 6 hours: $49.00 non-refundable
    • Dry load: $99.00 (crew arrives, no items available)
  5. Additional items not in original quote charged upon completion.
  6. Customer responsible for landfill fees for hazardous materials.
  7. $50 deposit required to confirm. Balance due upon completion. Deposit refundable if cancelled within 24 hours. 10% late fee after 10 days past due.
Access & Property Conditions:
  1. Customer ensures safe, legal, unimpeded access. Delays may result in wait time fees.
  2. Not liable for property damage during reasonable removal unless due to clear negligence. Customer assumes liability for approved contents.
Part 2: Credit Card Authorization

By submitting this form, you authorize Dirty Boyz Waste Solutions to charge the credit card provided for agreed upon junk removal services. Your information will be saved to file for future transactions on your account, according to our security practices (we do not store full card numbers).

By signing below, I authorize Dirty Boyz Waste Solutions to:

  • Charge a $50 deposit to confirm my service appointment
  • Charge the final amount based on actual volume and services provided upon completion

The deposit is non-refundable for same-day cancellations. The final charge will reflect the actual service provided, including any additional fees for extra labor, overweight, or special handling as discussed on-site.

BY CHECKING THE BOX AND SIGNING BELOW, YOU AGREE TO BOTH THE JUNK REMOVAL SERVICE TERMS AND CREDIT CARD AUTHORIZATION

By checking this box, you acknowledge that you understand and accept all service terms, pricing policies, and authorize credit card charges.

Your signature applies to both the service agreement and credit card authorization.