<% custid = Request.Cookies("allshreduser")("custid") companyname = Request.Cookies("allshreduser")("companyname") deptname = Request.Cookies("allshreduser")("deptname") contactname = Request.Cookies("allshreduser")("contactname") serviceaddress = Request.Cookies("allshreduser")("serviceaddress") city = Request.Cookies("allshreduser")("city") state = Request.Cookies("allshreduser")("state") zipcode = Request.Cookies("allshreduser")("zipcode") phonenumber = Request.Cookies("allshreduser")("phonenumber") email = Request.Cookies("allshreduser")("email") %> Allshred Services - Secure Document Shredding - Confidential Document Destruction
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This form is for current Allshred Customers.
If you are inquiring about new service, please
use our Sales Request form.
* = Required Data

Click here to store your company data on the computer you are using for automatic retrieval on your next visit. (Cookies must be enabled.)
*Allshred Customer ID #:
(
Located in the upper right-hand corner of your service report receipt.)
*Company Name:
Department Name:
*Contact Name:
*Service Address:
*City:
*State:
*Zip:
*Phone Number:
Email:

SERVICE REQUESTED:


A: Locking Toter
B: Office Sentry
C: Personal Sentry
My containers are ready to be switched out or emptied:
Locking Toters Qty:
Regular Toters Qty:
Office Sentry Cabinet Qty:
Personal Sentry Cabinet Qty:
Meese Cart Qty:
Gaylord Boxes Qty:
Cages Qty:
I am ready for a purge event or box pickup:
How many boxes do you have?
Are the boxes in good shape? Yes   No
Are the boxes stacked on pallets? Yes   No
Where are the boxes located?
I have loose material ready to be shredded.
Comments:
Special Instructions: