Attachment 1 - Registration Form.pdf
PDF 257 KB Posted
- Solicitation number
- FA9451-21-S-0001A0003
About this file
This document contains a registration form and details of a federal contract opportunity. The registration form is for attendance at the Directed Energy Technology Experimentation Research (DETER) Advanced Research Announcement (ARA) Industry Day being held on October 19, 2023 by the Air Force Research Laboratory Directed Energy Directorate. The form requests contact information and company profile details. It also inquires as to US citizenship, attendance format preference, and whether the attendee will need a Kirtland Air Force Base pass.
The related federal contract opportunity is a special notice for the DETER ARA Industry Day with solicitation number FA9451-21-S-0001A0003. The opportunity is being offered by the Department of the Air Force Materiel Command Research Laboratory. The industry day aims to provide information on the DETER advanced research program.
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CUI
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.
Air Force Research Laboratory Directed Energy Directorate
DETER & TACTICAL
Hybrid Industry Day
Registration Form
19 October 2023
9:00 am - 3:00 pm
*No more than two people per firm will be allowed to attend the Hybrid Industry Day. Per firm is further defined as division/subsection of each company/university.
Name (First, Middle, Last)
Email Address
Company/University Name
Address
City State Zip Code
Phone Number
Cage Code (Vendor)
Small Business Large Business University/Research institution/Non-Profit
Please confirm your organization has an active DD2345 (Please provide copy)
Yes No
Will you need a Kirtland Air Force Base (KAFB) base pass to attend in person?
Yes No
Please confirm you are a US Citizen. Yes No
Which Industry Day session will you be attending? DETER TACTICAL BOTH
The link to the virtual session(s) indicated will be emailed to the provided email address prior to the event.
Will you be attending in person breakout session? Yes No
| Name First Middle Last: |
| Email Address: |
| CompanyUniversity Name: |
| Address: |
| City: |
| State: |
| Zip Code: |
| Phone Number: |
| Cage Code Vendor: |
| Small Business: |
| Large Business: |
| UniversityResearch institutionNonProfit: |
| Yes: |
| No: |
| Yes_2: |
| No_2: |
| Yes_3: |
| No_3: |
| DETER: |
| TACTICAL: |
| BOTH: |
| Yes_4: |
| No_4: |
File details come from the government source that posted it. Updated .