Base Access.docx

DOCX document 13 KB Posted Jun 12, 2020

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8520Q0024_Synopsis_Solicitation_Corrosion_Control.pdf	PDF	Jun 12, 2020
DOS - Corrosion Prevention Control - FY20 - FINAL.pdf	PDF	Jun 12, 2020

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SELFRIDGE AIR NATIONAL GUARD BASE ACCESS FORM

Pre-registration is MANDTORY for access to the base. Please email the word version Base Access Form to allow for copy and paste.

Email to TAMI.L.MCKENNEY.CIV@MAIL.MIL

Add to the Subject Line: W912JB-20-Q-00024 Corrosion Control

Authorized Visitor Information complete for each person who will be attending:

Full Name: Last, First, Middle: __________________________________________

JR/SR: _______________________________________________________________

Date of Birth:__________________________________________________________

Driver’s License (State of issue and number)_________________________________

Gender and Race_______________________________________________________

Country of Citizenship/Passport Number____________________________________

Destination on base:

29000 George Ave, Building 139, Selfridge ANGB, Michigan, 48045

Full Name: Last, First, Middle:___________________________________________