Services Request Form

1) Requestor Information: (Items in Bold are Required)

Requestor	*	Phone	*	Cell
Company Name		Email	*	Confirm Email	*
(This email address will be used to confirm the order)

2) Secondary Contact: (not required)

Name		Phone
Email		Cell

3) Request Information/Service Description: (5000 character limit)

Quantity, Size or Type of items to be recovered

4) Pickup Location: (Items in Bold are Required)

Site/Location	Required	Site Contact
Street	Required	Site Phone
Ste/Bldg/Floor		Acct. Code/Cost Center
City	Required
State	Required
Zip	Required

5) Comments: (1000 character limit)

6) Special Instructions: (1000 character limit)

7) SMS Disclaimer:

By providing my phone number to “Argus IT Services,” I agree and acknowledge that Argus may send text messages to my wireless phone number for any purpose. Message frequency will vary, and Message and data rates may apply. If you need further assistance, please reply “HELP”. You can also opt out by replying “STOP.” For more information on how your data will be handled, please visit https://www.argusx.com/privacy-policy/.

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