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The cot mattress
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Repair/Recycle Collection form
Name
Company name
Phone number
Mobile number
Address line 1
Address line 2
State
Name
Items to be collected
Select one...
The Mattress
The Bed
The Sofa
The Cot
The Cot Mattress
Quantity
Condition
New
Good
Used
Bad
Collection type
Pickup
Drop off
By ticking this box I agree that Social Living team will contact me to discuss the terms of the pick up or drop off
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