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Request for Pickup of Materials to be Retained in Records Center

Request for Pickup of Materials to be Securely Disposed

Requestor Name:  

Requestor's Email Address:                                                             (use format username@gpc.edu)

Department:

Location: (Campus)     (Building) (Room Number)    

Number of Boxes:        

General Description of Records to be Disposed:

Special instructions for Pickup: