Please provide the following information:

First Name
Last Name
Title
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	Select please YES NO Is this a residential address?
Phone	xxx-xxx-xxxx
Extension
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	- - - Select - - - Pink Postcard Previous Experience Google Yahoo Ask Jeeves Friend or Relative Radio or Article Mailing Other Please tell us how you heard about us.   If "Other" please explain

Please provide us with the following information about your storage media. The more detail you can give us the better. We need quantity of tapes, manufacturer, model number and condition.

***Example: 25 Tapes, Fuji Super DLT 160/320GB Tape Cartridge, Unbroken

 

 

RFBC absorbs all of the costs for this program. Please be respectful of the time, effort and money it takes to process & fill your request. Make certain any questions you may have are addressed prior to submitting your request.

 

Please double check all your information, including phone and email address for accuracy. If your information is not correct we may not be able to fulfill your request.

 

We do not sell, rent, share or distribute in anyway your personal information.