Fax | Email Order Form * Records Management Orders

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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 [email protected] 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
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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
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