Name:
Email Address:
Property or Company Name
Phone:
Fax:
Address:
What type of Security Service is needed?	Consultation Armed Security Guard Un-Armed Security Guard Rover Patrol (Vehicle) Rover Patrol (Golf Cart) Rover Patrol (Bike) Loss Prevention Officer Bodyguard Supervisor Investigator Plain Clothed Officer Bouncer Concierge Administrative Asst. Camera Installation Alarm System Escort Armored Vehicle
How many officers are needed per shift?	1 2 3 4 5 6 7 More n/a
How soon do you need service?
How long is the service needed?	Temporary Month to Month 6 Months 1 Year 1-2 Year Plan(Savings)
Please explain to us some of the crime incidents in the last 90 days which occurred at this location:
Have you used another company at this same location previously?	Yes No
If you answered yes, please explain the reason for termination of that companies service:
Please list some of the duties required for this officer:
When making a determination on selecting a company. What is most important for you or your corporation/business?	Price Level of Service Resolving our problems Resolving our crime problems Other
If you selected other, please explain other important factor:
What type of billing cycle is preferred?	Weekly Bi-Weekly Monthly
How do you intend to pay for the first payment (deposit)	Corporate Check Cashiers Check Personal Check Credit Card
Where would you like us to send you our proposal?	Email Fax Hand Delivered
How would you like our Account Representative to contact you?	Phone Fax Email In Person

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