Verify Your Pickup Information
Please verify that all your information is correct:
| Contact Name: |
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| Address: |
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| Is Dead End? |
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| Is Gated? |
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| Home Phone |
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| Cell Phone |
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| Work Phone |
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| Email |
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| Email Reminder |
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| Item Placement: |
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Comments:
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| Route Number: |
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| Scheduled for pickup on: |
Southeast Paralyzed Veterans of America
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