Vulnerability Assessment Proposal Request Form

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Complete this form with as much information as you feel comfortable divulging and we will contact you promptly.

Please use the appropriate case.

= Required Field

Have you previously spoken with Mile2
or an Affiliate's Sales personell?
Yes No
If yes above, who and from where?:  
Company  
Your full name:
How should we address you?
(i.e. Fred or Mr. Smith)
 
Your Title  
E-mail
Phone 1  
 Ext1 
Phone 2  
 Ext2 
Address  
Address  
City  
State  
Postal Code  
Country
Web Site  
Industry  
Services of Interest
How did you find us?  
Notes  
 

Describe the network to be assessed:

 
How many Internal IP addresses
will be tested?
 
How many External IP addresses
will be tested?
 
Will you need an internal Assessment?  
Will you need an external
Penetration Test?
 
Will the testing be done during normal
business hours or after business hours?
 
What is the time frame of the project needed?  
Can log files be erased?  
Will the test be Black box, White box
or Gray box..?
 
Will the networking team be aware
that testing will take place..?
 
What systems will be the
target-of-evaluation (TOE)?
 
Are social engineering
techniques acceptable?
 
Can data be retrieved and copied
from systems for results compilations?
 
Will DoS (Denial of Service) attacks
be allowed?
 
Can backdoor Trojan / Malware applications be installed on target systems?  
Will we need Security clearance for this event from 3rd party? .  
Who will be the contact person throughout this project..? (Full Contact Information)  
Would you like security training for your staff as part of our proposal?  
x
 
 
 
   
 
 
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