Attachment 1 - Quoter Information Form.docx

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Fresh Tissue Cadavers and Fresh Tissue Dissection Laboratory services in support of Navy Trauma Training Center (NTTC) Trainings
Solicitation number
N6264521Q0036
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Attachment 1—Quoter Information Form Provide two points of contact.

Company Name: _____________________________________________ CAGE Code: _____________________

DUNS: _________________________

TIN: ___________________________

Contact 1 Name: ____________________________________ Title:______________________________________ Phone Number: _____________________________ Email Address: _____________________________

Contact 2 Name: ____________________________________ Title:______________________________________ Phone Number: _____________________________ Email Address: _____________________________

I acknowledge that all items contained in the quote submitted under RFQ N6264521Q0036 are true and accurate to the best of my knowledge. I also acknowledge receipt of all amendments to the solicitation.

Printed Name/Title: _____________________________________________

Signature/Date: ________________________________________________

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