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Contact Name (Required): Business Name: Email Address: Phone Number Mailing Address: City (Required): State (Required): Zip Code (Required): Service Needs: On-site Off-site Purges Placement of security containers How is your paper contained? Copy Paper Box: 12X15X10 File Storage Box: 15X22X10 Plastic Bag: 13 Gal. Tall Kitchen 32 Gal. Bag Other How did you hear about us? Yellow Book Referral Previous Google Yahoo NAID Scranton Chamber Carbondale Chamber Better Business Bureau Other Other Comments: How would you like to be contacted? Email Phone

© 2007 ALL-SHRED Document & Product Destruction • PO Box 155, Moscow, PA 18444

570-842-6464 • Toll Free in PA 800-891-4410