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First Name
*
Type in your first name
Last Name
*
Type in your last name
Company Name
*
Type in your company name
Contact Phone Number
*
Type in the number you want us to reach you at
Work Email
*
Type in the email address where we can contact you
Were you referred to APS
Referral?
Address Where Service is Needed
*
Property address
City Where Service is Needed
*
City
State Where Service is Needed
*
State
Type of Service Needed
*
What kind of guard service are you requesting?
Unarmed Guard
Armed Guard
Patrol Service
Security / Event Equipment Rental
Project Details
*
Please provide any details relevant to the request or need for security services
Days Services Requested
*
What days of the week will you require security service
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Requested Start Date
*
Date service starts
Month
/
Day
/
Year
Requested End Date
*
Date service will end
Month
/
Day
/
Year
Prevailing Wage
*
Is this a prevailing wage project
Yes
No
Guard Parking
*
Is there free parking available onsite for the guard
Yes
No
Shelter
*
Is there shelter onsite for the guard
Yes
No
Restrooms
*
Are restrooms available to the guard
Yes
No
Electrical Outlets
*
Is there access to electrical outlets
Yes
No
Time Services Requested
*
What time(s) should the guard be onsite
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