Attachment_4 _Site_Visit_Registration.pdf

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Repair Base Water Mains Phase III
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FA4661-14-R-0014
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Attachment 4 Site Visit Registration

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ATTACHMENT 4

CONTRACTOR SITE VISIT REGISTRATION FORM

INSTRUCTIONS: Please complete and return this form to SSgt Keaston Simmons by no later than 1400 Central Standard Time on 26 August 2014, if you wish to attend the site visit.

Completed forms may be submitted to the following addresses or fax number. Completed forms may also be sent via e-mail to keaston.simmons@us.af.mil

Address: 7th Contracting Squadron Attn: SSgt Keaston Simmons 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.:_________________________

Number of individuals to attend the contractor site visit: _____________

Name Drivers Liscense # w/state issued

1.

2.

3.

mailto:keaston.simmons@us.af.mil

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