| In
which region are you located? |
 |
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Have you previously
spoken with Mile2
or an Affiliate's Sales
personell? |
|
Yes
No |
| If yes above, who and from
where?: |
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Would you like a proposal
for
Vulnerability & Penetration Testing
Services
|
|
NOTE TO STUDENTS We have found that many students
attend class simply to understand security concepts in
order to liaise with professional security consultants
who in turn perform the actual assessments. Not all
students intend to perform full assessments themselves.
If you fall into this category, would you like more
information of Mile2's Professional Security team and
Assessment Services? |
| 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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| ddress line
1: |
|
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| Address line 2: |
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| City: |
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State/Province:
|
| Zip/Postal Code: |
|
Country: :
|
| 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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Are you
interested in training?:
If so, Which classes most
interest you?
If more than one enter in
notes below: |
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Additional Notes:
(How else can we be of service?) |
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