Industry Day Registration Form.doc

Joint Base McGuire-Dix-Lakehurst Industry Day

“Doing Business with the Joint Base” McGuire Community Center 2705 East Arnold Avenue Joint Base McGuire-Dix-Lakehurst, New Jersey 08641 Thursday, November 19, 2009 9:00 A.M.-12:00 P.M

REGISTRATION FORM

DEADLINE November 13, 2009 COMPANY NAME: _____________________________________________________________________________________ ADDRESS: _____________________________________________________________________________________________ CITY: ________________________________________________ STATE: _______________ ZIP + Four: ____________

PLEASE CHECK ALL THAT APPLY:

Small Business_____ Small Disadvantaged Business_____ Woman-Owned_____ HUBZone_____ Service Disabled Veteran-Owned_____ Veteran-Owned _____ Large Business_____ Non-Profit_____ COMPANY REPRESENTATIVE(S) ATTENDING EVENT: __________________________________________________

PHONE NUMBER(S): ___________________________________________________________________________________ FAX NUMBER: ________________________________________________________________________________________ EMAIL ADDRESS: _____________________________________________________________________________________

Mail registration form to: 87th Contracting Squadron Attn: MSgt Alma Cates 2402 Vandenberg Avenue

Joint Base McGuire-Dix-Lakehurst NJ 08641-1712 Or fax registration form to: (609) 754-2074 Or email registration form to: 87cons-lgcp@mcguire.af.mil For additional information please contact MSgt Alma Cates at telephone (609) 754-4792.

***IMPORTANT NOTICE***

DUE TO SECURITY PROCEDURES, THE LAST DATE FOR ACCEPTING REGISTRATION IS NOVEMBER 13, 2009. NO EXCEPTIONS!

NOT RESPONSIBLE FOR LATE OR LOST REGISTRATIONS