Registration Form
Third Generation Forward Looking Infrared (3GEN FLIR)
Dewar Cooler Bench (DCB) Low-Rate Initial Production (LRIP)
Solicitation W909MY-21-R-C010
Industry Day 27 July 2021
Location: Virtual (dial-in information will only be provided to registered attendees)
Business Information
Business Name: _____________________________Cage Code: ___________________
Business Address:______________________________________________________________
Business Phone Number:______________________
US or Foreign Owned (Name of Country) ___________________________________________
Small Business: Y/Nor Large Business: Y/N
Does your Team wish to request a One-and-One Discussion with the Government: Y/N
Name of Representative (1st): _____________________________________________________
Citizenship:______________________Phone: ___________________________________
Title: ___________________________Email: ___________________________________
Will Attend One-on-One Discussion Session: Yes/No ________
Name of Representative (2nd):____________________________________________________
Citizenship:______________________Phone: ___________________________________
Title: ___________________________Email: ___________________________________
Will Attend One-on-One Discussion Session: Yes/No ________
Name of Representative (3rd): ____________________________________________________
Citizenship:______________________Phone: ___________________________________
Title: ___________________________Email: ___________________________________
Will Attend One-on-One Discussion Session: Yes/No ________
Name of Representative (4th): ____________________________________________________
Citizenship:______________________Phone: ___________________________________
Title: ___________________________Email: ___________________________________
Will Attend One-on-One Discussion Session: Yes/No ________
Name of Representative (5th): ____________________________________________________
Citizenship:______________________Phone: ___________________________________
Title: ___________________________Email: ___________________________________
Will Attend One-on-One Discussion Session: Yes/No ________
All attendees must be registered.
You must register for the Industry Day by emailing your registration form no later than 16 July 2021 to brian.m.maraghy.ctr@mail.mil. Please contact Mr. Brian Maraghy at (571) 408-5920 should you have any questions regarding the registration form.
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