Shred CJIS SHRED ORDER Step 1 of 2 50% Name First Last Title*Agency or Company*PhoneEmail Pick-Up Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Billing address* Same as Pickup address Enter billing Address Billing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Site contact for pick-upSite contact phone Hard Drive 3.5" Price: $10.00 Quantity: SSD Drives Price: $10.00 Quantity: Cell Phones Price: $10.00 Quantity: Tablets Price: $10.00 Quantity: Laptops Price: $10.00 Quantity: Ruggedized Laptops Price: $30.00 Quantity: Notarized confirmation report? Price: $0.00 Quantity: Enter 1Confirmation Report*Not Notarized (free)Notarized (+$50.00)Video of Process*No Video (free)Video (+$50.00)Total $0.00 Payment Method* Purchase Order / Invoice Later Quote Only P.O. Number (Optional)NameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.
