Gateway Records Storage, Medina, Ohio  
 
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Please complete the following form to place an order request.
 
*Account #:
*Account Name:
*Requested By:
Telephone #:
*Type:
Fax #:
# of Barcode Labels:
# of New Gateway Boxes (bundles of 10):
Pick Ups - # of Boxes:
# of Files:
1. Gateway Barcode #:
File Description (File retrievals only):
2. Gateway Barcode #:
File Description (File retrievals only):
3. Gateway Barcode #:
File Description (File retrievals only):
4. Gateway Barcode #:
File Description (File retrievals only):
5. Gateway Barcode #:
File Description (File retrievals only):
6. Gateway Barcode #:
File Description (File retrievals only):
7. Gateway Barcode #:
File Description (File retrievals only):
8. Gateway Barcode #:
File Description (File retrievals only):
9. Gateway Barcode #:
File Description (File retrievals only):
10. Gateway Barcode #:
File Description (File retrievals only):
*Email:
Special Instructions:
 
 
 
 
 
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