WSIC Distribution List & Non-Disclosure Agreement (NDA)

1. Personal Contact Information

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* First Name:

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* Last Name:

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* Partner Type:

Law Enforcement

Public Sector (Non-Law Enforcement)

Private Sector

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* Position/Title:

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* Contact E-mail (You MUST use an Official Government or Corporate E-mail. G-mail, Yahoo, etc accounts will not be approved):

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* Contact Phone (format ###-###-####):