New Account

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New Account Information
Scheduled Pickup Date
Department Available Pickup Time *
Fax Sales Representative *
E-mail * How did you hear about us? *
Contact Person * Contact Phone *

Container Service

Estimate your container requirements. Totes and consoles are for scheduled container service.

64 Gallon Tote
64 Gallon Tote
42" high x 25.2" wide
(approx. 250 lbs.)
Equilivant to 6 standard bankers boxes
Executive Console
Executive Console
36" high x 20" wide
(approx. 100 lbs.)
Equilivant to 3 standard bankers boxes

Record Storage Boxes

Record Storage Boxes are typically two different sizes. Please choose the size and number for destruction.

Standard Record Storage Box
Standard Record Storage Box
12”H x 12”W x 15"L
(approx. 30 lbs.)
Large Record Storage Box

12”H x 12”W x 25”L
(approx. 55 lbs.)

Other Services

If Other:

Service Location 1
Contact Person *  
City *  
State *  
Zip *  

Service Location 2
Contact Person  

Where will the container(s) and/or boxes be located?
Are there stairs involved with accessing the material? Other Location Details *

Billing Address
(if different from above)

Service Location Directions *

Additional Notes

Service Agreement

Confidential Document Destruction Agreement

This Confidential Document Destruction Agreement (“Agreement”) is entered into by and between Shred This Inc. d/b/a “on-site SecurShred” (hereinafter “SecurShred”) and the person listed in the SecurShred New Account form (“Customer”) and is effective as of the date the New Account form was first submitted to SecurShred (the “Effective Date”).


1.1 Services to be Furnished. SecurShred will provide the services for the secure destruction of Customer’s records. SecurShred will present a Certificate of Destruction to Customer upon completion of each service. The services may, at Customer’s option, be performed as part of a regular schedule or pursuant to specific directions which Customer shall give SecurShred from time to time. Customer may also request custom services, in which case SecurShred will consult with Customer as to the terms and conditions of the services requested.

1.2 Services by Third Parties. SecurShred may procure the services of any responsible third party to perform all or part of the services, insofar as said third party complies with all security standards and procedures required of SecurShred by Customer, and further that said third party shall accept in writing the responsibility requisite to the transfer of custody. SecurShred will remain liable for all services performed for Customer. SecurShred will record all custody transfers and/or the use of any subcontractor to render contracted services to the Customer and shall make Customer aware of any use of any subcontractor, including their identity.


2.1 Right to Rely on Instructions. SecurShred may act in reliance upon any instruction, instrument, or signature believed by SecurShred to be genuine, and may assume that any of Customer’s employees has the authority to do so unless otherwise stated by Customer upon destruction of records.

2.2 Compliance with Contracts, Laws and Regulations. Customer shall be responsible for, and warrant compliance with, all contractual restrictions and all applicable laws, rules and regulations, including but not limited to environmental laws and contractual restrictions and laws governing the confidentiality, retention and disposition of information contained in any materials delivered to SecurShred. SecurShred shall comply with applicable laws, statutes, regulations and ordinances.

2.3 Hazardous Substances. Customer shall not deliver to SecurShred any material considered toxic or dangerous. In the event of the accidental or negligent custodial transfer of hazardous or regulated waste, Customer agrees to arrange to safely and legally assume custody of such hazardous materials at their expense, and indemnify SecurShred from any property damage or personal injury resulting from such transfer of material.

2.4 Performance of Services. All services performed by SecurShred will be in a professional manner in accordance with standards and practices set forth by the National Association for Information Destruction (NAID).

3. FEES AND PAYMENTS – Prices for services shall be those published by SecurShred as of the Effective Date and shall remain in effect for the duration of the initial one (1) year term. Following the initial term, prices shall be as published by SecurShred as revised from time to time. Invoices shall be due and payable within thirty (30) days from receipt of the applicable invoice. Amounts due and not paid within thirty (30) days after Customer’s receipt of the invoice shall bear interest at the rate of one and one-quarter per cent (1.25%) per month.

4. CONFIDENTIALITY - “Confidential Information” means any information relating to Customer’s property, business and affairs. SecurShred shall use the same degree of care to safeguard your Confidential Information as it uses to safeguard its own. However, SecurShred may comply with any subpoena or similar order related to materials delivered to SecurShred; provided that it shall, unless prohibited by law, notify Customer promptly of any such subpoena or notice. Customer shall pay SecurShred’s reasonable costs for such compliance.


5.1 Initial Term/Automatic Renewal. The initial term of this Agreement shall commence on the Effective Date and, unless otherwise terminated in accordance with Section 5.2, shall continue in effect for one (1) year. This Agreement shall automatically renewal for successive one-year terms, unless written notice of non-renewal is delivered by either party to the other not less than ninety (90) days prior to the date of expiration of such term.

5.2 Termination. Either party may terminate this Agreement for cause if the other party is in material or repeated breach of any of its obligations hereunder and the breaching party has not cured the breach within sixty (60) days after written notice from the non-breaching party. In the event of any such termination, all amounts due for services rendered up to the effective date of termination shall become due and payable. Customer may also terminate this Agreement at any time after the initial term without cause by providing 60 days prior notice and paying fifty percent (50%) of estimated fees for all remaining time in the current term, based on the average monthly fee for the prior year. Upon any termination, Customer shall return (or permit SecurShred to retrieve) all SecurShred bins and other property kept at Customer’s site, and SecurShred shall have no obligation to provide further Services to Customer.

6. NOTICE OF CLAIM – Customer must provide SecurShred with notice of any claim with respect to any service in writing to Company within a reasonable time and in no case later than three (3) months after the occurrence of the event on which the claim is based.


7.1 Limitation of Liability. SecurShred shall not be responsible or liable in any manner whatsoever for the release or loss of any materials deposited in bins or otherwise delivered to it for secure destruction unless the release or loss is due to SecurShred’s negligence or willful misconduct. SecurShred’s maximum liability for any and all claims arising with respect to the Services provided under this Agreement shall not exceed the aggregate amounts paid by Customer with respect to the Services provided at the particular Customer location during the six (6) months preceding the event which gives rise to a claim.

7.2 Ownership Warranty. Customer warrants that it is the owner, legal custodian or otherwise has the right to deliver for confidential destruction any and all materials Customer provides SecurShred hereunder. Customer shall reimburse SecurShred for any expenses reasonably incurred by SecurShred (including reasonable legal fees) by reason of SecurShred complying with its obligations under this Agreement to destroy such materials in the event of a dispute concerning the destruction of the materials provided by Customer to SecurShred.


8.1 Notices. All notices hereunder shall be in writing and sent to either party at the physical address set forth in the New Account form. Notices to SecurShred must be addressed to the attention of its President.

8.2 Binding Nature and Assignment. This Agreement shall be binding on the parties and their respective successors and assigns. Neither party may assign this Agreement without the prior written consent of the other party, which consent shall not be unreasonably withheld, except SecurShred may assign this Agreement to any party that acquires it or into which it may merge, and also as permitted by Section 1.3.

8.3 Force Majeure. Each party shall be excused from any delay or failure in performance under this Agreement for any period if and to the extent that such delay or failure is caused by acts of God, governmental actions, labor unrest, riots, unusual traffic delays or other causes beyond its control.

8.4 Relationship of Parties. SecurShred is acting as an independent contractor hereunder and has the sole right and obligation to supervise, manage, contract, direct, procure, perform, or cause to be performed all work to be performed by SecurShred under this Agreement.

8.5 Entire Agreement. This Agreement constitutes the entire agreement between SecurShred and Customer with respect to the subject matter of this Agreement. No change, waiver, or discharge of this Agreement shall be valid unless in writing and executed by the party against whom such change, waiver, or discharge is sought to be enforced. Except as provided in Section 3, this Agreement may be amended only bd amended in writing signed by Customer and SecurShred.

8.6 Invalidity. If any provision of this Agreement is declared invalid by any tribunal of competent jurisdiction, then such provision shall automatically be adjusted to the minimum extent necessary to the requirements for validity as declared at such time and as so adjusted shall be deemed a provision of this Agreement as though originally included herein. In the event that the provision invalidated is of such a nature that it cannot be so adjusted, the provision shall be deemed deleted from this Agreement as though such provision had never been included herein. In either case, the remaining provisions of this Agreement shall remain in effect.

8.7 Exclusivity: Customer agrees to retain SecurShred on an exclusive basis at all facilities covered by this agreement for the duration of this Agreement.

8.8 Governing Law. This Agreement shall be governed by and construed in accordance with the laws of the State of Vermont, including its statutes of limitations, but without regard to its conflicts of laws provisions.

I agree to the service agreement.

SecurShred will use the above information to determine the amount of time to schedule this work. If the number of boxes at a customer’s
location is more than selected above, then SecurShred may not be able to complete the entire job on the scheduled date.

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