BSSA Safety Defense Business Shield Contact Form

Name:*

First

Last

Name of business:*

What service(s) are you interested in?*

Safety Defense Office Assessment

Safety Defense Business Shield Workshop

Active Shooter Training

Are you and the other staff members or co-workers trained in self-defense and situational awareness?*

Yes

Have you and others in the office had any active shooter training? *

Yes

Do you know if your office has a safety plan and/or an evacuation plan?*

Yes

E-mail:*

Phone:*

Area Code

Phone Number

When is it the best time to reach you by phone?*

Any comments or questions:

Word Verification: