CUI
Air Force Research Laboratory Directed Energy Directorate
DETER Virtual Industry Day
Registration Form
14 April 2022
10:00 am-12:00 pm
First Name
Middle Name
Last Name
Email Address
Company/University Name
Address
City
Phone Number
Cage Code (Vendor)
Small Business
Please confirm your organization has an active DD2345 (Please provide copy)
Large Business
Zip Code
State
University/Non-Profit
Yes No
*All attendees must be US Citizens
*No more than two people per firm will be allowed to attend the Virtual BFI. Per Firm is further defined
as division/subsection of each company/university.
This form contains Controlled Unclassified Information (CUI) which must be protected under the Freedom of Information Act (5 U.S.C. 552) and/or the Privacy Act of 1974 (5 U.S.C. 552a). Unauthorized
disclosure or misuse of this PERSONAL INFORMATION may result in disciplinary action, criminal and/or civil penalties. Further distribution is prohibited without the approval of the author of this
message unless the recipient has a need to know in the performance of official duties. If you have received this form in error, please notify the sender and delete all copies of this form.
Show All
