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First Name

Last Name

Company

Business Email Address

When would you like testing to be completed?

Penetration Testing Services - I would like pricing for: (select all that apply)

Internal Network Penetration Testing External Network Penetration Testing Web Application Penetration Testing Mobile Application Penetration Testing Wireless Penetration Testing API Penetration Testing External Network Scan Internal Network Scan

Internal Network - Approximately how many Internal IPs will be provided for testing in total?

External Network - Approximately how many External IPs will be provided for testing in total?

Web App - Does this application have a login page?

Yes No

Web App - How many applications would you like tested?

Web App - What is the URL for this application(s)?

Web App - How many total “dynamic" pages are in the application?

Web App - How many total “static” pages are in the application?

Web App - How many web application user roles would you like tested?

Web App - How many APIs are used from your website?

Web App - How many unique API requests do you have within the web interface?

Mobile App - How many mobile user roles would you like tested?

Mobile App - Specify Language

Mobile App - Please specify in-scope mobile application platform(s)

Mobile App - What is the download name for the mobile application?

Wireless - How many locations require wireless testing?

Wireless - How many SSIDs will be tested?

API - How many unique calls does the API(s) outside of your network make?

API - To how many unique endpoints?

API - Please specify the type of API(s)

External Network - Approximately how many External IPs will be provided for testing in total?

Internal Network - Approximately how many Internal IPs will be provided for testing in total?

Social Engineering Services - I would like pricing for: (select all that apply)

Physical Social Engineering - How many physical locations would you like tested?

Physical Social Engineering - Once inside the building, what additional objectives would you like us to attempt? Choose as many as you like:

Attempt to gain access to specific areas of the building such as executive office space, boardroom, network room, server room, or other room with technical equipment Attempt to remove laptops, or other equipment, from the location Attempt to maintain a presence in the location for a set period of time Gain network persistence Attempt to retrieve a "flag" Identify opportunities to cause harm Other

Phishing - Please select the attack methods you would like us to use for email phishing

Entice my users into visiting untrusted websites Entice my users into opening untrusted file attachments Entice my users into divulging their username/password Entice my users into divulging other information of my choosing Prefer to discuss options

Phishing - Approximately how many email addresses do you want to test?

Vishing - Please select all attack methods you'd like us to use for telephone vishing

Entice my users into visiting an untrusted website Entice my users into divulging their username/password Entice my users into divulging information of my choosing Prefer to discuss options

Vishing - Approximately how many users would you like us to call?

Smishing - Please select the attack methods you would like us to use for SMS smishing:

Smishing - Approximately how many users would you like us to text?

Training - Approximately how many users will be accessing training?

Advanced Testing Services - I would like pricing for: (select all that apply)

Red Teaming Advanced Adversary Simulation

Red Teaming - How many physical locations will this engagement include?

AAS - I consider my security program to be mature.

Yes No

AAS - How many employees do you have?

AAS - How many active internal IPs do you have?

AAS - How many active external IPs do you have?