Attachment 1 Registration Form BDR BDDR Industry Day v2.docx

AFSEC/SEFW & 377 MSG/PK

DEPARTMENT OF THE AIR FORCE BIRD/DRONE DETECTION RADAR

Virtual Industry Day Registration Form

INSTRUCTIONS: FILL IN YOUR ANSWERS OR CIRCLE/HIGHLIGHT WHERE APPROPRIATE

COMPANY NAME:

STREET ADDRESS:

CITY:

STATE:

CAGE CODE:

Are you a Small Business?YESNO

(If you are a Small Business, answer Question 6a, if other than small business, proceed to Question 7.)

WHAT SOCIOECONOMIC GROUP IS YOUR COMPANY?

Would your company like to meet with Government POCs in a one-on-one session (15 mins max; must provide response to Attachment 8 Request for Information)?

YESNO

If No, provide name/email to send Webex link to and then proceed to Question 9:

If YES, please provide the information in Question 8:

INDIVIDUALS TO INTERACT WITH GOVERNMENT

FIRST INDIVIDUAL

FIRST AND LAST NAME:

TITLE:

PHONE NUMBER:

EMAIL ADDRESS:

SECOND INDIVIDUAL (FULL NAME):

FIRST AND LAST NAME:

TITLE:

PHONE NUMBER:

EMAIL ADDRESS:

OTHER ATTENDEES:

FIRST AND LAST NAME:

FIRST AND LAST NAME:

FIRST AND LAST NAME:

**** Please see Business Rules (Page 5 of the Announcement) for further instruction****