First Name
Last Name
Organization
Role CEO/President CIO/CTO CISO/CSO Compliance Auditor Consultant Home User Human Resources Intern IT Risk Manager Marketing Network Manager Operations Manager Other Security Analyst Security Analyst/Architect Security Architect Security Manager/Director Student System Administrator VP/EVP
Job Title
Email
Sector Business Services Education Energy/Utilities Financial Services Government Healthcare Hospitality Insurance IT Consulting Legal Manufacturing Media & Entertainment MSPs/MSSPs Not for Profit Retail Software Vendor Technology Telecom Commercial Transportation
U.S. SLTT? Is your organization a U.S. State, Local, Tribal, or Territorial (SLTT) or other non-federal U.S. government institution (including public education and critical infrastructure)? Yes No
Country United States Canada Afghanistan Albania Algeria Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Indian Ocean Territory British Virgin Islands Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curaçao Cyprus Czech Republic Ivory Coast Democratic Republic of Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Qatar Romania Russia Rwanda Reunion Saint Barthélemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Holy See (Vatican City State) Venezuela Vietnam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe
State/Region Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas US Minor Outlying Islands US Virgin Islands Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Number of Employees Range 250,000 or more 100,000 + 100,000 to 249,999 50,000 to 99,999 25,000 to 49,999 10,000 to 24,999 5,000 to 9,999 1,000 to 4,999 500 to 999 250 to 499 100 to 249 50 to 99 Up to 49
Phone Number
How Did You Hear About Us? Advertisement Advertising – online Advertising – print CIS consensus participant Cyber Defense Tool Event, tradeshow, or seminar Internet search Other PCI compliance Referral from friend/colleague Referral from IT consultant/auditor Security training course Social media Use the free PDFs Advertising - online Advertising - print Referral from another MS-ISAC member Referral from a professional or government association
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