Request Pickup of Special Items

2. Must be scheduled 24 hours before your last pickup day…

4. Pickup Item Price
   Pickup Item Price Table (PDF)

   Use the following form to request a pickup of special items. There is a charge for this service. Please see the above price list. If you have any questions, please call Marietta's Sanitation Division at 770-794-5581.

6. Pickup Request

8. Name*

9. Email Address*

11. Address*

13. Phone Number*

14. Account Number

16. Your service date
    Your service date

17. Items Location

19. Items to be picked*

    Select all that apply if there are multiple items.

    1. Air Conditioner (Window Unit)
    2. Air Conditioner (Central Unit)
    3. Appliance
    4. Bags and Boxes (2 - 10)
    5. Bicycle
    6. Carpet and Pad Each Room
    7. Chair (Kitchen and Folding)
    8. Chair (Living Room and Recliner)
    9. Commode
    10. Couch or Sofa
    11. Counter Top (Small)
    12. Counter Top (Medium)
    13. Counter Top (Large)
    14. Door (House)
    15. Door (Garage)
    16. Door (Garage Door Opener)
    17. Dresser
    18. Excessive Yard Debris (200 Cubic Feet / 48 - 32 Gallon Bag)
    19. Exercise Equipment (Small)
    20. Exercise Equipment (Large)
    21. Grill (Small)
    22. Grill (Large)

    1. Grill (Extra Large - Oven Type)
    2. Mattress or Box Spring (Twin)
    3. Mattress or Box Spring (Full)
    4. Mattress or Box Spring (Queen)
    5. Mattress or Box Spring (King)
    6. Mower (Push)
    7. Mower (Riding)
    8. Office Furniture (Small)
    9. Office Furniture (Large)
    10. Sink
    11. Swing Set
    12. Swing Set (Medium Wood and Metal)
    13. Swing Set (Large Wood and Metal)
    14. Table (End Table)
    15. Table Kitchen/Dining Room
    16. Table Kitchen/Dining Room (Medium - One Leaf)
    17. Table Kitchen/Dining Room (Large - Two Leaf)
    18. TV (26 Inches or Less)
    19. TV (27 to 39 Inches)
    20. TV (40 Inches and Above)
    21. Other (describe below)
21. Description*

Leave This Blank:


22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field