VENDOR REGISTRATION FORM 2026 v2.pdf

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Attached to
R499--Special Notice – Industry Day 2026 -36C10X26Q0085 001
Solicitation number
36C10X26Q0085
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About this file

This is a Vendor Registration form for a federal procurement event. Vendors must complete and submit the form to Jerry Battles at Jerry.Battles@va.gov by the registration deadline of Friday, April 10, 2026, at 5:00 P.M. EST.

The form requires vendors to provide standard business information including company name, street address, city, state, and zip code, along with business size status designation. Contact information must include the primary contact name, phone number, and email address. Vendors must describe the services they provide and indicate the number of attendees planning to participate. The form includes fields for vendors to request special accommodations and to indicate whether they wish to participate in a break-out session. This appears to be a registration template for vendor participation in a federal agency event or conference, likely hosted by the Commonwealth of Virginia based on the @va.gov email domain provided for submission.

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Other files

File Type Posted
Questions and Answers Responses - Industry Day 2026 - 04012026.xlsx XLSX spreadsheet
36C10X26Q0085 0001.docx DOCX document
VENDOR REGISTRATION FORM-2026.pdf PDF
Questions and Answers - Industry Day 2026.xlsx XLSX spreadsheet
36C10X26Q0085.docx DOCX document

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Text version

VENDOR REGISTRATION

State: Zip Code:

Business Name:

Street Address:

City:

Business Size Status:

Contact Name:

Phone Number:

Email Address:

Description Service:

Number Attending:

Special Accommodations:

Break Out Session Requested: Yes No

Please send the completed Vendor Registration form to:

Jerry Battles at Jerry.Battles@va.gov

Registration Deadline: Friday, April 10, 2026, 5:00 P.M. EST vacoedwarw Underline

Business Name:
Business Address:
City:
State:
Zip Code:
Business Size Status:
Name:
Phone Number:
Email Address:
Description:
# Attending:
Accomodations:
Check Box33: Off
Check Box34: Off

File details come from the government source that posted it. Updated .