SERVICES :
*Priority *Delivery
Normal File Tech DELIVER to Cust
RUSH Customer Courier to P/U at File Tech
Fax
Swap Shred Console

Item(s) for File Tech to pick up:

BOXES:   FT to P/U # / REC at dock
FILES:   FT to P/U # / REC at dock

DATE TO BE SERVICED "MM/DD/YY"

FILE TECH AND CLIENT USE

(Order Form - New Supplies)

Box Barcodes Requested :  How many?
Container Transmittal Forms Requested:  How many?
Material:  New Boxes (10X12X15):  How many?

RETRIEVAL REQUEST

FAX .......... 788-8517

OFFICE ...... 767-0430

*Account Name:

*Account Number:

Charge to Department: (if applicable)

NOTE:  Please fill in all  blanks applicable to ensure  fast, efficient service.
*File Tech Container - Box Barcode Number

Customer Box
Number

*Requestor's Name

File Tech File Barcode Number

Customer File Number

File Description
(Also, how many files with this same subject & number.)

Check for Whole Box

Client Comments/Requests:                       (Maximum 100 characters per line)

File Tech Comments:

“We Appreciate Your Business!”