CORNELL WAREHOUSE ACCESS REQUEST FORM Email this form to amoving@cnymail.com or fax to 607.257.7967 (Request cannot be processed without Customer ID) Customer ID #:___________________________ Department Representative: ___________________________ Today's Date: ____________ Contact Phone Number: ______________________________ Extension: _____________ Date Access Requested: ______________________________ Access Time: ___________ Date Pick Up Requested: _____________________________ P/U Time: ___________ Accessed By (check one): ___ Accessed By Cornell ___ Accessed By Advance Moving Company Delivery Needed (check one): ___ Yes ___ No If Yes: Building: _____________________ Room: _________________ Date: ______________ ITEMS TO BE ACCESSED ITEM NUMBER DESCRIPTION OF ITEM LOCATION IN WAREHOUSE __________________ ______________________ _______________________ __________________ ______________________ _______________________ __________________ ______________________ _______________________ __________________ ______________________ _______________________ __________________ ______________________ _______________________