CODDS Industry Day Registration Form.pdf

C2BMC Operational Defense Design System (CODDS) Industry Day Registration Form

April 5, 2023

1. COMPANY NAME:

2. ADDRESS:

3. CITY: 4. STATE 5. ZIP CODE

6. ATTENDEE NAME #1:

7.TITLE

8.WORK TELEPHONE NUMBER:

9. WORK EMAIL ADDRESS:

10. ATTENDEE NAME #2:

11.TITLE

12.WORK TELEPHONE NUMBER:

13. WORK EMAIL ADDRESS:

14. ATTENDEE NAME #3:

15. TITLE

16. WORK TELEPHONE NUMBER:

17. WORK EMAIL ADDRESS:

22. Participating as Prime, Subcontractor, or Joint venture:

23. Do you grant permission to include your information on the attendee list?

Attendee list will be emailed to all attendees after the Industry Day event

Note One–on-one sessions for potential CODDS Prime Contractors will be from 1300 – 1700 on April 5, 2023

Limited to 30 minutes each, one session per company Sessions will be scheduled on a first come, first served basis Please request a time slot with submission of request form: (1300-1330; 1335-

1405; 1410-1440; 1445-1515; 1520-1550; 1555-1625; or 1630-1700) *interested companies will be contacted if additional sessions are needed

**IT IS THE ATTENDEE(S) AND THEIR COMPANY SECURITY OFFICE’S

RESPONSIBILITY TO ENSURE EACH ATTENDEE HAS A VALID AND

UPDATED VISIT AUTHORIZATION REQUEST (VAR) ON FILE WITH THE

MDA SECURITY OFFICE

Base Access: YES ☐ No ☐

YES ☐ No ☐ Base Access:

Base Access: YES ☐ No ☐

18. ATTENDEE NAME #4:

19.TITLE

20. WORK TELEPHONE NUMBER:

21. WORK EMAIL ADDRESS:

Base Access: YES ☐ No ☐

Yes ☐ No ☐