47QMCA22R0013 MHWC Open Season Industry Day RequestForAutoVendorAccount.docx

Request for AutoVendor Account Form

GSA Solicitation: Program:

Company Information

Please complete the following fields required to create an AutoVendor account for this announcement:

Information

Company Response

Company Name

Address

Address (if necessary)

Address (City/State/Zip)

Valid UEI number

Business Size (Large/Small)

User #1 Request

Telephone Number

Fax Number

Email

User #2 Request (if applicable)

Telephone Number

Fax Number

Email

User #3 Request (if applicable)

Telephone Number

Fax Number

Email

Requested Vehicle Makes

All interested firms must provide a list of makes/models to John Hampson, GSA Vehicle Engineering Branch Chief, at john.hampson@gsa.gov prior to submitting this form.

Submission

Please submit an electronically completed form to the following address: automotiveedi.partnerships@gsa.gov