Attachment 1_Registration Form_BDR BDDR Industry Day.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

1. COMPANY NAME:

2. STREET ADDRESS:

3. CITY:

4. STATE:

5. CAGE CODE:

6. Are you a Small Business? YES NO (If you are a Small Business, answer Question 6a, if other than small business, proceed to Question 7.)

a. WHAT SOCIOECONOMIC GROUP IS YOUR COMPANY?

7. Would your company like to meet with Government POCs in a one-on-one session (15 mins max)? YES NO

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

b. If YES, please provide the information in Question 8:

8. INDIVIDUALS TO INTERACT WITH GOVERNMENT

a. FIRST INDIVIDUAL

i. FIRST AND LAST NAME:

ii. TITLE:

iii. PHONE NUMBER:

iv. EMAIL ADDRESS:

b. SECOND INDIVIDUAL (FULL NAME):

i. FIRST AND LAST NAME:

ii. TITLE:

iii. PHONE NUMBER:

iv. EMAIL ADDRESS:

9. OTHER ATTENDEES:

i. FIRST AND LAST NAME:

ii. FIRST AND LAST NAME:

iii. FIRST AND LAST NAME:

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