This form is a request for Group North Protection Services. Please complete as much as possible and one of our agents will contact you.. In emergency circumstances please contact the main line at 1-360-252-0678.

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Point Of Contact Name *

Email *

Phone number

Organization / Company Name

Proposed Project Description / Duty *

Example: 2 Agents traveling with my family on a trip to West Africa | Security consulting for my company

Date And Time Range Of Proposed Project

Example 05/21/2024-06/12/2024 0600-1800

Approximate Location

Town, Area, City, State Or Country

Requested Outside USA? *

• No
• Yes

Service RequiredExecutive Protection / Personal ProtectionSecure or Armed TransportInfrastructure DefensePlain Clothes Armed SecurityConsulting Services | WorkshopsDisaster Relief and Disaster SecurityOther

Choose the service that closest meets your needs.

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