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** What is your primary business at this location? (choose one)
1. Document Destruction Firm 2. Document and Product Destruction Firm 3. Recycler Offering Destruction Services 4. Document Storage Firm Offering Destruction Services 5. In-House Financial Destruction 6. In-House Medical Destruction 7. In-House Corporate Destruction 8. In-House Government Destruction 9. In-House Military Destruction 10. Recycler 11. Document Storage Firm 12. Financial Institution/Corporate/Medical 13. Government/Military 14. Other
** What is your title?
1. Owner/Partner 2. President 3. Vice President 4. Corporate/Executive Officer 5. General Manager 6. Director 7. Manager 8. Superintendent 9. Foreman 10. Supervisor 11. Broker/Trader 12. Specialist 13. Recycling Coordinator 14. Other Coordinator 15. Purchasing/Buyer 16. Other
If "other," please describe:
What industry associations are you a member of?
1. NAID 2. PRISM 3. ISRI 4. EIA Other
If "other," please describe:
How many employees do you have?
How many facilities do you operate?
Do you offer on-site services?
Yes No
Do you offer off-site services?
Yes No
What do you offer storage services for?
1. Documents 2. Data 3. Other
If "other," please specify:
How many trucks do you operate?
For future renewals, which method do you prefer?
E-mail Fax Phone
Which equipment, products or services are you considering adding or utilizing in the next 24 months?
1. Shredder 2. Shredding Truck 3. Baler 4. Secure Plastic Containers 5. Secure Consoles 6. Facility Security Equipment (cameras, access control, etc.) 7. Software 8. Employee Background Checks and/or Drug Testing 9. Racking Equipment & Systems
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