Shortcode test - Green Coast Rubbish
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Green Coast Rubbish
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Shortcode test

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2025 All-in-One Contact Form

Note to client: This is a consolidated contact form that combines fields from the Contact Us form and quote request forms.

By default, only contact details and message will be requested. If the customer indicates they have items ready for pickup, they will be presented with additional fields to enter their item details, including image uploads and a datepicker. The datepicker will allow customers to select a date from a popup calendar for ease of use.

Submissions will be entered into a single database.

*Note: this description with not be visible on the final website form.

"*" indicates required fields

Do you have items ready to be picked up?

Item Pickup Details

MM slash DD slash YYYY
Tips for describing your items
Drop files here or
Accepted file types: jpg, png, jpeg, heic, pdf, Max. file size: 8 MB.
    Tips for describing your items

    Please read and accept our policies*
    This field is for validation purposes and should be left unchanged.

    Junk Removal Services

    • Residential Junk Removal
    • Commercial Junk Removal
    • Recycling Tote Rentals
    • Roll-Off Bin Rentals
    • Recycling
    • Construction Sites
    • Strata & Multifamily Junk Removal

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    Photo Upload Tips for Fast and Accurate Quotes
    • Show the Full Scene: Take photos from a distance so we can see everything that needs to be removed in context—not just close-ups.
    • Include Background: Make sure surrounding areas are visible to help us understand the space and access points.
    • Good Lighting Helps: Take pictures in daylight or with adequate lighting so we can clearly see the items.
    • Multiple Angles Welcome: If possible, upload 2–3 photos from different angles to give us a better perspective.
    • Group Items Together: If items are scattered, try to group them in one photo to make it easier to assess the volume.
    Helpful Info to Include in Your Comments
    • Rough Dimensions: Share the size of your junk items (e.g., width x height x depth) to help us plan removal.
    • Photo Upload Reminder: Be sure to upload photos using the tips in the File Upload section below—this helps us give an accurate quote!
    • Preferred Pickup Time: Let us know your ideal date and time for the removal, or any time restrictions.
    • Access Details: Mention anything important about access (e.g., stairs, elevator, gate codes, parking).
    • Special Instructions: Tell us if any items are fragile, oversized, or require disassembly.
    • Urgency or Deadlines: If you’re on a tight timeline, just let us know