Form

EXOsecure is only permitted to quote/order Palo Alto Networks (PAN) hardware/software for customers who are ‘business entities’, as defined by state/federal definitions. Customers must provide their business information and confirm that they are a business entity before any quote/order can be processed by EXOsecure. If it is subsequently determined that an order has been placed and the customer does not meet all PAN business and data governance requirements, then EXOsecure reserves the right to cancel the order and provide a refund to the customer, less any transaction/handling fees/charges incurred by EXOsecure.

Business Entity Confirmation*

Company name*

Street address*

City*

State/Region*

Country/Region*

First name*

Last name*

Email*

Phone number*

Number of employees

Industry

Company domain name

Website URL

Please provide a brief description of the required solution, use case and requirements.