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Record Shredding Request Form

*Required fields

Title: *Name:

*Phone: E mail:

*School Name:
(Select one from below or type location name in the field marked Other)

Location:

Location Type:

Other:

School Number:         *Number of Boxes:

*Location of Boxes:

Comments or Important Notes:

Mark all sides of each box with "TO BE SHREDDED".
You will receive an e-mail to confirm your request or to address
conflicts in scheduling.

Modified Thursday, August 16, 2007 by DMM Webmaster