11 Fax | Email Order Form – Records Management Orders Fax completed order forms to 1.800.934.5348 (USA); 1.800.387.0124 (Canada); 1.800.316.2464 (Maritimes) or e-mail to order@ironmountain.com. For questions, contact Customer Response at 1.800.FASTFILE. ► Fields marked (Required) must be completed to process the order. Today’s Date: Customer Verification Customer ID (Required): Service Level (Required): Division ID: Authorized User: Department ID: Password: Time: Next Day Half Day Rush After-Hours Rush Delivery | Pickup Address – All fields are (Required) Company Name: Attention: Phone: E-mail: Street Address: Floor | Suite: City: State | Province: Zip | Postal Code: Special Instructions: Order Type Retrieval SafeKeeperPLUS (SKP) Box # Fax & Refile Customer Box # Internal Project Permanent Withdrawal File Description or File Sequence Entire Box or # (4 digits) (If individual file Individual File request) ► Go to Page 2 if you need to order additional items. Pickup for Storage Pickup for Imaging Description Quantity Carton Type (Size) Requested for (5 spaces) Supplies Quantity Item New Cartons #2000 Carton (10/pk), 1.2 cubic feet Entire Carton Refiles # Individual File Refiles Transmittal Sheets (50/pad w/250 labels) Interfiles (New Files) Transmittal Forms (3 part, 25/pk) Common Carton Sizes Cubic Footage 1.2 2.4 3.6 Dimensions 15” x 12” x 10” 24” x 12” x 10” 24” x 15” x 10” Model # 2000 450 550 , cubic feet Other Supply Item: FOR IMRM USE ONLY Order #: Contact Name: IMRM rev: 2/9/2016 1 Date: 2 3 4 5 6 7 8 9 Time: Page 1 22 Order Type Retrieval SafeKeeperPLUS (SKP) Box # Fax & Refile Customer Box # Internal Project Permanent Withdrawal File Description or File Sequence Entire Box or # (4 digits) (If individual file Individual File request) Requested for (5 spaces) Page 2