How can we help you?

Name:*

Company:*

Address:

Phone:*

Fax:

Email:*

We currently store our records and/or media with a records center.

Yes No

If yes, please provide the name of records center currently providing services:

If no, why has your company not used a records center's services?
(please select all that apply)

Did not see a need.
Stored records onsite.
Cost concerns.
Security/safety concerns.
Other (please describe)

We employ a full-time records manager at our company.

Yes No

We are interested in the following services: (Please select all that apply.)

Records storage
Media storage
Destruction services
Document imaging
Web access to account information
Retention schedule development
Records management consulting

How did you learn about R4?

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Google
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Thank you for your interest in R4 Services. An R4 Services representative will contact you within 24 hours to discuss your records requirements further.