RFP | RFQ Submission Form

Thank you for your interest in our services. Please complete the form below and upload your organization's request for proposal (RFP) | request for quote (RFQ) and we will respond with a completed proposal in a timely manner.



Name
Title
Company
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	Note: Securance does not respond to inquiries from non‐corporate email domains such as aol, MSN, Yahoo, Earthlink, or Gmail.

Additional Information

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By completing and submitting this form, I hereby acknowledge, under penalty of perjury, that the following statements are, to the best of my knowledge, true and accurate:

I am an employee of the organization and authorized to request proposals for professional services for my organization;
All correspondence related to this RFP | RFQ will be considered confidential and will only be used by my organization for internal business purposes; and
No correspondence related to this RFP | RFQ will be disclosed to any third parties without the written consent of Securance LLC.