Request FOR Box & Other Purge
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Referred by:

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
 


The SecurShred customer service team will contact you within 1 business day with a free estimate for services.

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