Payment Portal

Payment

I wish to join the exclusive network of Pick Up Providers and understand that I will be charged monthly (on a recurring basis) for my position.

I understand that there are no contracts or long term commitments and I can cancel anytime by sending an email to admin@freepickup.com (7 day notice to cancel). If you would like to add additional locations or have other questions please call 1-888-414-3331.

Provider details

City

Please enter city.

Company Name

Please enter company name.

Provider Service

Please select a provider service.

First Name

Please enter first name.

Last Name

Please enter last name.

Please enter email.

Contact Phone

Please enter contact phone.

Card details

Credit Card #

Please enter credit card #.

Expiration (YYYY-MM)

Please enter expiration (yyyy-mm).

CVV

Please enter cvv.

Amount

Please enter amount.

* = Input is required