| CUSTOMER INFORMATION |
| * Name, First & Last : * Job Title : |
| * Company:
* Web Address:
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* Address :
* City :
* State & Zip : |
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* E-mail Address :
* Phone No. :
* Fax : |
| SERVICE LOCATION IF DIFFERENT |
| * Type of Organization :
Commercial
Industrial
Residential
Government
Other
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* Location of job Sites :
* City :
* State & Zip : |
| * Job Site Duties :
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| SCHEDULE |
| * Starting Date of Service :
* Ending Date of
Service :
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| * Services Hours Per Day :
* Per Week :
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| * Duties expected of VSF Personnels |
| TYPE OF SERVICE NEEDED |
| * Type of Officer/Personnel requested :
Armed
Unarmed
Uniformed
Plain Clothed
Other
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* How Many Duty Officers or VSF Personnel Needed per shift?
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* Are you seeking permanent or yearly service contract or temporary services?
Permanent Temporary |
* Approximately what hours will the staff work?
7am-3pm
3pm-11am
11am-7pm
Other
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* How soon will you be needing this service?
ASAP
2 Weeks
1 Month
2 Months or more
|
| ADDITIONAL COMMENTS |
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| Code Text Here |
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