BOX REQUEST FORM

CHICAGO RECORDS MANAGEMENT, INC.
3815 Carnation Street
Franklin Park, IL 60131
Phone: 847-678-0002
Fax: 847-678-0065

Service Type:
   Quantity:
   Delivery/Pick-Up Service Level:

Account Name:
Account Number:
Requestor Name:
Phone: Fax:
Requesor E-Mail:
Delivery/Pickup Address:
 

DO NOT USE THIS FORM FOR EMERGENCY
REQUESTS OR AFTER HOURS SUPPORT.
PLEASE CALL 847-678-0002.

Please enter below either the "Chicago Records Management Barcode Number"
or the "Customer Box ID" for your boxes.

 CRM Barcode # Customer Box ID
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Additional Comments:

I need to purchase new cartons.

Please send me more sheets of BOX barcode labels (21 labels per sheet).

Please send me more sheets of FILE barcode labels (24 labels per sheet).