12-R-0010 Reservation Form

Attachment 5: Repair Airfield Pavements Requirements Solicitation FA4661-12-R-0010

PRE-PROPOSAL CONFERENCE RESERVATION FORM

INSTRUCTIONS: Please complete and return this form to Mr. Clarion Miller by 2:00 p.m.

Central Standard Time 13 March 2012, if you wish to attend the pre-proposal conference and site visit on 21 March 2012. Completed forms may be submitted to the following addresses or fax number. Completed forms may also be sent via e-mail to clarion.miller@dyess.af.mil.

Address: 7th Contracting Squadron

Attn: Mr. Clarion Miller

381 Third Street

Dyess AFB TX 79607

Fax: (325) 696-4084

Name & Address of Firm: ________________________________________________

Point of Contact: _______________________________________________________

E-Mail Address: ________________________________________________________

Phone No.: _________________________ Fax No.:_________________________

List of Attendees:

Name (Last, First) Driver's License # & State and Date of Birth