Attachment 0004 PM-SL Industry Day - RegistrationForm.pdf

PDF 114 KB Posted

Attached to
Remote Weapon Systems (RWS) Federal contract opportunity
Solicitation number
W15QKN-21-Z-0H0U
Issued by
Department of the Army Materiel Command Contracting Command Picatinny Arsenal

About this file

This document provides details for an industry day event related to a remote weapons systems federal contract opportunity. The U.S. Army Contracting Command - New Jersey will host an industry day on June 8-10, 2021 at Picatinny Arsenal to demonstrate two remote weapons system variants. Representatives from offeror companies are limited to five attendees each and must pre-register by April 30, 2021 using the provided forms. Non-U.S. citizens require special approval. The event will provide an opportunity for technical questions and hands-on operation of the systems while adhering to COVID-19 safety protocols. All questions and responses will be summarized and shared after the conclusion of the industry day. This opportunity is open to both domestic and foreign companies pending disclosure requirement approvals.

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Text version

REGISTRATION FORM

Remote Weapons Systems (RWS)

Picatinny Arsenal, NJ.

8-10 June 2021

Submit to POC identified in the BetaSAM Announcement

Company Name: __________________________________________________

US or Foreign Owned (Name of Country)______________________________

Company Address & Phone: ________________________________________

Small Business: ________ Large Business: _______

1. Name of Representative __________________________________________

Citizenship________________________________________________

Passport/Resident Alien Card # (if not US citizen) ________________

Date/Place of Birth__________________ (if not US) __________

Title: ______________________________

Home Address: ____________________

Phone: ____________________ E-Mail: ______

FAX_________________________

2. Name of Representative __________________________________________

Passport/Resident Alien Card # (if not US citizen) ________________

Date/Place of Birth__________________ (if not US) __________

Title: ______________________________

Home Address: ____________________

3. Name of Representative __________________________________________

Passport/Resident Alien Card # (if not US citizen) ________________

Date/Place of Birth__________________ (if not US) __________

Title: ______________________________

Home Address: ____________________

4. Name of Representative __________________________________________

Passport/Resident Alien Card # (if not US citizen) ________________

Date/Place of Birth__________________ (if not US) __________

Title: ______________________________

Home Address: ____________________

5. Name of Representative __________________________________________

Passport/Resident Alien Card # (if not US citizen) ________________

Date/Place of Birth__________________ (if not US) __________

Title: ______________________________

Home Address: ____________________

ALL ATTENDEES MUST BE REGISTERED. ONLY REGISTERED ATTENDEES

MAY ATTEND. THIS WILL BE STRICTLY ENFORCED. NO MORE THAN FIVE

REPRESENTATIVES CAN BE REGISTERED, HOWEVER REGISTRATION IS NOT A

GUARANTEE OF APPROVED ATTENDANCE.

Release of Names of Conference Attendees

We typically share the company names, attendees’ names, telephone numbers, and email addresses with other attendees from these conferences to facilitate subcontracting and teaming arrangements.

Before releasing the name of your company, your name, telephone, and email address to the

Web, we would like your authorization to do so. If you do not want such information to appear, perhaps there is a corporate or office email and telephone number that may be listed instead.

Whatever information you agree to release to the Web will be the information we provide to attendees.

RELEASE INFORMATION? YES ____ NO _____

If YES, specify what information we can release:

COMPANY NAME: ___________________

YOUR/OFFICE NAME: ____________________

TELEPHONE: _____________________

EMAIL: ____________________

Thank You.

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