Attch_7-Site_Visit_Reg_Form.doc

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Airfield and Street Paving IDIQ
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FA4661-17-R-0001
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Attachment 7: Site Visit Registration Form

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ATTACHMENT 7

CONTRACTOR SITE VISIT REGISTRATION FORM

INSTRUCTIONS: Please complete and return this form to A1C Stephen Aguero-Cheek by no later than 07:30 AM Central Standard Time on 5 April 2017 if you wish to attend the site visit on 11 April 2016 at 1:00 PM (CST) at Dyess AFB, TX. Completed forms may be submitted to the following addresses or fax number. Completed forms may also be sent via e-mail to 7conslgca@gmail.com, stephen.aguerocheek@us.af.mil AND merry.sargentgreen@us.af.mil.

Address:

7th Contracting Squadron

Attn: A1C Stephen A. Aguero-Cheek

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 License # w/state issued
Date of Birth
Citizenship (Y/N)

1.

2.

3.

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