Hamrex Securities Request Form

1. Client Information:

Full Name:

Company Name (if applicable):

Contact Number

Physical Address

2. Event/Occasion Details:

Event/Occasion Name

Event Date

Event Location

Event Start Time

Event End Time

City

State

Type of Event

Estimated Number of Guests

Type of Venue

Number of Security Personnel Required

Type of Security Personnel Needed

Preferred Payment Method

Payment Due Date

6. How did you hear about us?

Additional Comments/Requests

7. Terms and Conditions: