Have you previously spoken with Mile2
or an Affiliate's Sales personnel? |
 |
Yes
No |
| If yes above, who
and from where?: |
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| Your
Organization Name: |
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| Your First & Last Names: |
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What do we call
you?:
(i.e. Fred or Mr.
Smith) |
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| Your Title or
job description: |
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| Address line 1: |
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| Address line 2: |
|
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| City: |
|
State/Province:
|
| Zip/Postal
Code: |
|
Country::
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| Web Site:
http:// |
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| Your E-mail
Address: |
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How did you
find us?:
(search engine & key
words) |
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| Primary Phone
Number: |
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| Extension: |
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| Secondary Phone
Number: |
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| Type of
phone: |
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| Emergency after
hours Ph:: |
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| Type of
phone: |
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| Fax |
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| Describe the network to be assessed: |
| How many Internal IP
addresses will be tested? |
|
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| How many External IP
addresses will be tested? |
|
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| Will you need an internal
Assessment? |
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| Will you need an external Penetration
Test? |
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| Will the testing be done during normal
business hours or after business hours? |
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| What is the time frame of the project
needed? |
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| Can log files be erased? |
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| Will the test be Black box, White box
or Gray box..? |
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| Will the networking team be aware that
testing will take place..? |
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| What systems will be the
target-of-evaluation (TOE)? |
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| Are social engineering techniques
acceptable? |
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| Can data be retrieved and copied from
systems for results compilations? |
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| Will DoS (Denial of Service) attacks be
allowed? |
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| Can backdoor Trojan / Malware
applications be installed on target systems? |
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| Will we need Security clearance for
this event from 3rd party? |
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| Who will be the contact person
throughout this project..? (Full Contact
Information) |
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| Would you like security training for
your staff as part of our proposal? |
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| |
Additional Notes
about
requested assessment) |
|
|
