Sacure - Enterprise Security

"Sacure is a leading trusted provider of
Managed Security and Professional Security Consulting Services"

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Pre-Assesment Coordination

To receive your free Security Evaluation and quote, please fill out the required fields. A Sacure Certified Agent will be in contact with you very shortly once receiving the questionnaire

Please Complete All Fields
1.0 GENERAL COMPANY INFORMATION
Organization to be Assessed: May 31, 2007
Company Name:
Web Site Address:
Point of Contact Name, Title:
Phone Number:
Street Address :
City:
State/Country:
Zip:
Type of Business:
Email/Username:
Password:

2.0 PREASSESSMENT COORDINATION
Primary Objective of the Assessment:

External (from outside)	Yes No
Web Application Security	Yes No
Network security (from inside)	Yes No
Regulatory Compliance	Yes No
Physical	Yes No
Business Continuity	Yes No
Privacy	Yes No

What needs to be included: (i.e. mailing address for physical, regulatory compliance, privacy and business continuity or IP address for External, Web Application and Network Security)
What needs to be excluded:
Suggested days of the week, and hours of the day for performing activities for this assessment:
Specific Concerns:
Previous Assessment History?		Yes No

3.0 ASSESSMENT SCHEDULING
Target Completion date:
Request for Name, Title:
Phone Number:
E-Mail: