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Service Request

 

 

electronic media destruction service
electronic media destruction service 2

This form is for current Allshred Customers.
If you are inquiring about new service, please use our Sales Request form.

 

*Required Data  
Allshred Customer ID#
(Located in the upper right-hand
corner ofour service report receipt.) *
Company Name: *
Department Name:
Contact Name: *
Service Address: *
City: *
State: *
Zip: *
Phone Number: *
E-mail Address: *
My Containers are ready to be
switched out or emptied:
Locking Toters
Regular Toters
Office Sentry Cabinet
Personal Sentry Cabinet
Meese Cart
Gaylord Boxes
Cages
I am ready for a purge
event or box pickup:
How many boxes do you have?
Box Size: *
Are the boxes in good shape? Yes
No
Condition of Boxes: *
Are the boxes stacked on pallets? Yes
No
Where are the boxes located?
I have loose material ready
to be shredded.
Comments:
Special Instructions:

* Required
 

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