Billing Contact Information

Accounts Payable Information (where invoice will be sent)

First Name | Accounts Payable *

Last Name *

Email *

Office Number *

Ext

FAX Number

Previous Step

Payment Information

Use Purchase Order *

Yes

No

Purchase Order Number

IF AVAILABLE, please email a copy of the PO to billing@shredohio.com

Payment Method *

Pay with VISA, MasterCard or Discover Card

EFT/ACH Bank Payment Transfer

Apply for Credit and Pay by Check

REQUIRED FOR THIS OPTION
You will receive an email with OMS EFT/ACH information or download the info form below, you must set this up through your bank. Confirmation email of setup required, send to sales@shredohio.com, or your direct representative.

ETF/ACH Bank Transfer Setup info

REQUIRED FOR THIS OPTION
Provide two vendor/service providers the company regularly does business with. (We can also accept a business reference document if available.)

First Reference | Company Name *

Address *

City *

State *

Zip *

Contact Name *

Phone Number *

Account opened since *

Second Reference | Company Name *

Address *

City *

State *

Zip *

Contact Name *

Phone Number *

Account opened since *

Previous Step

Service Location

Service address different than PHYSICAL Address? *

Yes

No

Street Address | Service Location *

City *

State *

Zip *

Previous Step

Day of Service Contacts

PRIMARY Contact

First Name | Primary Contact *

Last Name *

Position/Title *

Email

Office Phone *

Ext

Mobile Number

SECONDARY Contact

First Name | Secondary Contact

Last Name

Position/Title

Email

Office Number

Ext

Mobile Number

Previous Step

EasyShred Service Information

Shredding services to be performed *

On-site, materials to be shred at my location (material can't leave site before shred and/or I want to witness the shredding).

Off-site, materials to be picked up by OMS and destroyed at their secure facility.

Service Frequency *

Weekly | Once per week

Bi-Weekly | Every two weeks

Monthly | Once per month

Bi-Monthly | Every two months

Quarterly | Every three months

Approximately how many employees will be using this service? *

Executive Console

Dimensions:
37" tall
20" wide
21" deep

Capacity: ~100 lbs.

Security Receptacle

Dimensions:
40" tall
26.5" wide
28" deep

Capacity: ~200 lbs.
(PLEASE NOTE: not available for a location that would involve stairs)

Choose which styles of containers you would like *

Executive Console

Security Receptacle

Executive Console Quantity *

Security Receptacle Quantity *

Previous Step

200 lbs. of Free Shredding

New customers frequently have a backlog of documents to shred and will typically fill up their container(s) within 1-2 days following the container delivery. We can help you avoid this.

If we know PRIOR TO THE CONTAINTER DELIVERY DATE that you have documents ready for shredding, and we pick them up AT THE TIME OF CONTAINER DELIVERY, we will shred up to 200 lbs off-site at our destruction facility at no cost.

PLEASE NOTE: We cannot provide on-site shredding service on this day as our mobile shred trucks do not have cargo space for containers and are not used for container delivery.

Failure to provide prior notice negates this offer.

I will have documents ready for pickup at the time of delivery *

Yes

No

Letter/legal, 1 cubic boxes: 15x12x10

Large letter, 1.5 cubic boxes: 24x12x10

Large legal, 2 cubic boxes: 24x15x10

Quantity of bags

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Company Information

PHYSICAL address

MAILING address

Principal Owner or Officer

Privacy/Compliance Officer

Billing Contact Information

Accounts Payable Information (where invoice will be sent)

Payment Information

Service Location

Day of Service Contacts

PRIMARY Contact

SECONDARY Contact

Location Logistics

EasyShred Service Information

Executive Console

Security Receptacle

200 lbs. of Free Shredding

Final Step

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