SecurShred: Secure Paper Shredding and Digital Media Destruction in Vermont, New Hampshire, Massachusetts and Northeast New York
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Secure Information Destruction Electronic Document Management Off-site Paper and Electronic Records Storage Reponsible Electronics Recycling Online Destruction and Recycling


Request FOR Box & Other Purge
Please complete this form.

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Contact Information
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Address*
Phone* City*
E-mail* State*
Company Zip*

Material to be purged:
   If Other:  
   


Boxes or Other Container
Standard Record Storage Box
Standard Record Storage Box
12"H x 12"W x 15"L
(approx. 30 lbs.)
 Large Record Storage Box

12"H x 12"W x 25"L
(approx. 55 lbs.)
Number of Boxes Number of Boxes
   
Weight estimate @ 30LB Weight estimate @ 50LB

Other Container
   If Other: QTY Weight Estimate
 

Total Boxes
For pallets or large storage areas, please count boxes and indicate as follows:

    
Count High  
     
Count Wide  
     
Count Deep  
     
Box Total
 > 50 boxes requires visual on site.



Location and Logistics

Location
  If Other:  
   
Stairs
      
Number Flights #boxes @.50 $

Freight Elevator
    
       
Distance to location (ft) Manned continuously

Minimum door width to access material
 (ft)

Minimum hall width to access material
(ft)



Location and Logistics

Location
  If Other:  
   
Stairs
      
Number Flights Stair Fee@.50 per flight $

Freight Elevator
    
       
Distance to location (ft) Manned continuously

Minimum door width to access material
 (ft)

Minimum hall width to access material
(ft)



Location and Logistics

Location
  If Other:  
   
Stairs
      
Number Flights Stair Fee@.50 per flight $

Freight Elevator
    
       
Distance to location (ft) Manned continuously

Minimum door width to access material
 (ft)

Minimum hall width to access material
(ft)



Location and Logistics

Location
  If Other:  
   
Stairs
      
Number Flights Stair Fee@.50 per flight $

Freight Elevator
    
       
Distance to location (ft) Manned continuously

Minimum door width to access material
 (ft)

Minimum hall width to access material
(ft)



Location and Logistics

Location
  If Other:  
   
Stairs
      
Number Flights Stair Fee@.50 per flight $

Freight Elevator
    
       
Distance to location (ft) Manned continuously

Minimum door width to access material
 (ft)

Minimum hall width to access material
(ft)



Location and Logistics

Location
  If Other:  
   
Stairs
      
Number Flights Stair Fee@.50 per flight $

Freight Elevator
    
       
Distance to location (ft) Manned continuously

Minimum door width to access material
 (ft)

Minimum hall width to access material
(ft)



Location and Logistics

Location
  If Other:  
   
Stairs
      
Number Flights Stair Fee@.50 per flight $

Freight Elevator
    
       
Distance to location (ft) Manned continuously

Minimum door width to access material
 (ft)

Minimum hall width to access material
(ft)



Location and Logistics

Location
  If Other:  
   
Stairs
      
Number Flights Stair Fee@.50 per flight $

Freight Elevator
    
       
Distance to location (ft) Manned continuously

Minimum door width to access material
 (ft)

Minimum hall width to access material
(ft)



Location and Logistics

Location
  If Other:  
   
Stairs
      
Number Flights Stair Fee@.50 per flight $

Freight Elevator
    
       
Distance to location (ft) Manned continuously

Minimum door width to access material
 (ft)

Minimum hall width to access material
(ft)



Location and Logistics

Location
  If Other:  
   
Stairs
      
Number Flights Stair Fee@.50 per flight $

Freight Elevator
    
       
Distance to location (ft) Manned continuously

Minimum door width to access material
 (ft)

Minimum hall width to access material
(ft)



Location and Logistics

Location
  If Other:  
   
Stairs
      
Number Flights Stair Fee@.50 per flight $

Freight Elevator
    
       
Distance to location (ft) Manned continuously

Minimum door width to access material
 (ft)

Minimum hall width to access material
(ft)

[ add new location ]



Additional Information

Cardboard removal/ recycle?
 

Truck Accessible?
 

Time constraints? (am, pm, closed for lunch, etc)



Additional Notes

 

Directions to Location: (Landmark, road type, parking/ driveway)

Other Services
Please contact me about information about:

Payment
 


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