Atch 3 Industry Day Reg.docx

REGISTRATION FORM

CIVIL ENGINEER (CE) CONTROL SYSTEM (CS) CYBERSECURITY INITIATIVE

SERVICE CONTRACT

Dates of Industry Day: 30 Mar 2022 (Agenda to be released as a separate document)

Location: AFICC 772 Enterprise Sourcing Squadron

Virtual Communication (platform to be announced prior to Industry Day)

Please e-mail your completed registration NLT 22 Mar 2022 to Noah Platz at noah.platz@us.af.mil, and Flavio Ely at flavio.ely.1@us.af.mil.

NOTE: Please format e-mail subject as follows: Cyber Industry Day, company name

COMPANY NAME: Cage:

Address:

Phone:

1.Name, title, and email of Attendees. (3 Max)

2.Request one-on-one session with the government team: Yes [ ] No [ ]