COVID-19 COVID-19 Self Help Center Order Form

Self Help Center Order Form

Place an order online for pickup

Self Help Center Order Form

Place an order online for pickup

Self Help Pickup Request

Place an order online for pickup

"*" indicates required fields

Self Help Order Request

Need something from the Self Help Center? Fill out the information below! View Item List

Full Name*

Phone Number

Email*

Address*

What type of items are you requesting?

Rentals (Rakes, Blacklights, etc)

Light Bulbs

Seasonal (Grass Seed, Lime, etc)

All other (plumbing, safety, etc)

Items Requested

Item

Qty

 

Add Remove

File

Drop files here or Select files

Max. file size: 128 MB.

Pick Up Type*

In Store

After Hours Locker

Acknowledgement

Please check the following boxes before submitting.

Lockers are available for 24 hour pickup. You will receive an email containing your locker number. Please note that rentals are not available via locker and must be picked up in store.

Locker Pickup Terms*

I understand that I will receive future correspondence confirming when my order is available and which locker to pickup from.

I understand that this order is for locker pickup only. Failure to pickup after 72 hours, will result in cancelation of the order.

Select All

Rentable Item Terms*

I understand that blacklights, shampooers, lawn/driveway tools, fan brushes, and garage floor squeegees are rentable items and must be returned. If renting an item, please sanitize prior to returning.

General Pickup Terms*

I understand that this order is for pickup only. Failure to pickup after 72 hours, will result in cancelation of the order.

Additional Notes

Phone

This field is for validation purposes and should be left unchanged.

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