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Company Name: Contact Name: Street Address: City, State & Zip Code: Telephone: Fax: E-Mail: How Heard About Us ? -- Select One -- Internet Search Engine SuperPages.com SmartPages.com Verizon Yellow Pages Pacific Bell SBC Yellow Pages Boma Magazine Chamber of Commerce Directory Other What type of service(s) do you require? -- Select One -- Alarm Response Service Armed Security Guard Unarmed Security Guard Bodyguard/VIP Fire Watch Security Off Duty Police Officers Patrol Guards Security Dogs Security Station Services Special Event Security Services Other How many security guards are needed? -- Select One -- Response as Needed 1 2 - 5 6 - 10 11 or more How many hours per week do you need security services? -- Select One -- 24 Hours x 7 Days a Week Less than 10 Hours 10 - 20 Hours 20 - 40 Hours 40 - 60 Hours 60 Hours or More One-Time Service What type of facility requires security? -- Select One -- Arena/Convention Bank Business/Office Government Fairground Home/Residential Mall Manufacturing Plant Retail School Transportation Vehicle Lot Warehouse Other When do you need this service? -- Select One -- As Soon As Possible Within One Week Within Two Weeks Within Four Weeks Within Six Weeks Flexible Any comments?
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