Attachment 1_SAFS-2.1_Industry Day Participant Request Form.docx

Attachment 1 Industry Day Participant Request Form Date and Time:

07 Mar 2024: Industry Day and One-on-One Sessions

· General Session: 8:00 AM – 9:30 AM

· One-on-One Sessions (if requested)

· Below are the times available for a 30-minute One-on-One Session. The Government will work with you to schedule your one-on-one.

i. 10:00 AM – 10:30 AM

ii. 10:45 AM – 11:15 AM

iii. 11:30 PM – 12:00 PM

iv. 1:00 PM – 1:30 PM

v. 1:45 PM – 2:15 PM

vi. 2:30 PM – 3:00 PM

vii. 3:15 PM – 3:45 PM

viii. 4:00 PM – 4:30 PM

Location:

Space Systems Command Gordon Conference Center (GCC) 483 North Aviation Blvd El Segundo, CA, 90245

Company Name:

Company POC: (name/email/phone)

1) Identify In Person Participants for Industry Day (Maximum of 4):

1.

2.

3.

4.

5.

(Please note any non-U.S. Citizens will not be allowed to attend this Industry Day) Please adhere to the example below when entering In Person Participant information:

NOTE: We cannot accept driver’s license or state IDs that indicate “FEDERAL LIMITS APPLY” per REAL ID ACT of 2005. A person in possession of such document must have another form of picture identification such as a US passport. People listed MUST be US Citizens.

· Last Name, First Name, Middle Name: SCOTT, TYLER ROBERT (NOT BOB)

· Date of Birth: MONTH/DAY/YEAR (Ex: 06/28/1978)

· Driver’s License Number and State: All Numbers, Letters and State of Issuance must be included (Ex: X01234567 CA).

· Last 4 of Social Security Number (SSN): Mandatory for All In Person Participants

2) Industry One-on-One Session

If requesting a One-on-One session after the general session, please check the box.

Additional Comments:

Please fill out and return this form to Rebecca Jara at rebecca.jara@spaceforce.mil and Lt Devesh Mehta devesh.mehta@spaceforce.mil no later than 1300 PST on 28 Feb 2024.