Contact Info
First Name
*
Last Name
Email Address
*
Business Phone
*
Role/Title
*
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Business Info
Business Legal Name
Web Address
*
Head Office Address
*
City
*
State
*
Zip
*
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Infrastructure and Scope
Short description of in-scope product/service
*
Infrastructure Environment
Infrastructure Environment
*
Cloud
On-premises
Hybrid
Live internal IP's (approx)
*
Live internal IP's (approx)
*
Servers (approx.)
*
Workstations (approx.)
*
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Organization and Facilities
Employees & contractors
*
IT employees and contractors
*
Type of Facility
Enter all that apply
Facilities
*
Qty.
Location
(City, State)
Comments
Corporate data centers
In-scope branch offices
Cloud providers
Collocation facilities
Third-party managed services
Other
Notes for the TrustNet team
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