11/21/08

The information provided in this form is for the sole use of Personal Protective Services and is not provided or sold to other public or private entities.

Please Fill Out the Following Form When Contacting PPS for Services

*REQUIRED

*Company Name

*Contact Person

*Phone

*Fax

*E-mail

OPTIONAL

Event Location

Type of Event

Type of Security Needed

Armed Unarmed
Uniformed Plain Clothes

Security is for a(n)

Dignitary Executive VIP

OPTIONAL

Type of Patrol
Foot Patrol Vehicle Patrol

Officers Needed Per Shift
#

Shift Type
Day Swing Graveyard

Language

OPTIONAL

Appx. Hours of Service
FROM

TO

Days of Service
FROM

 TO

Total Service Duration
Hrs Days Months



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