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Please complete the form below to apply for this opportunity.
Business Information
*
Indicates required field
Program Referral Code
*
This program is by invitation only. If you received a referral code to our program, please enter it here. Else, enter "NO CODE" to be added to our wait list.
Company Name
*
Company Size
*
< 10 employees
10-50 employees
50-100 employees
> 100 employees
Main Geographic Area Served
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington D.C.
West Virginia
Wisconsin
Wyoming
(Other / not USA)
Are you a Managed IT Service Provider (MSP)?
*
Yes
No
Number of Companies Served
*
< 50
50-100
100-500
> 500
What security services do you currently provide?
*
Antivirus
Firewall Management
Network Monitoring (IDS, SIEM, Threat Hunting, etc)
Penetration Testing
Information Security and Compliance Risk Assessments
Incident Response and Forensics
Other
None of the Above
Program Interest
What is your interest in our program?
*
Information Security / Data Protection
Ransomware / Business Continuity
Differentiation from other MSPs
Additional Revenue Streams
Other
How many incidents have you experienced in the last two years?
*
Less than 10
10-19
20-49
Over 50
Prefer not to say
Unknown
Security incidents include virus outbreaks, phishing, social engineering attempts, ransomware, attempted break ins to servers or workstations, etc.
Are you able to deploy a dedicated listening station on your customers' networks?
*
Yes
No
See the system requirements and installation page for details
How soon are you looking to deploy?
*
Less than a month
1-3 months
3+ months
* Reference:
Installation and System Requirements
Contact Information
Contact Name
*
First
Last
Email
*
Phone Number
*
This may be used to contact you if we have any questions. We do not sell your information.
I agree to receiving marketing and promotional materials
*
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