Close Protection Services Name of Company Name of Contact Title Phone NumberEmail Address Type of SecurityMedia and News Reporters/Journalists Out in the FieldOff Duty Enforcement OfficersRegular Security GuardSpecial ForcesStrike and Crowd ControlHow many people will need protection? How many security personnel are needed? Where type will the service being provided be?TravelingCommercialResidentialOtherService Location Residence Included? Yes No What is your occupation? How long have you been in that type of work? Location(s) needed for security services? Armed? Yes No Does transportation need to be provided? Are you the one needing the services or are you requesting on someone else’s behalf? Are you Prepared and Able to pay an upfront retainer for the services? Start Date? MM slash DD slash YYYY Length of Time for Services? Travel Included Yes No Additional Needs