The Integrative Center
for Homeland Security








 


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SECURITY BACKGROUND INFORMATION
Due to the content and information presented in this seminar, Chameleon Associates LLC requires that attendees submit the following Security Background Information Form:
 

Some of the installations visited in this seminar require pre-approved visitor ID cards. Please fax to our office at (818) 734 8454 a printed copy of your passport for this purpose.




First Name:
Last Name:
Email:
Phone #:
Country of Residence:
Organization:
Title:
What is your professional law enforcement, military or security background?:
What countries have you been to in the last 5 years and for what reason (each country)?:
What is your interest and purpose in coming to this seminar?:
Who is paying for you to join our seminar?:
How did you hear about this seminar?:


 
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