SITE VISIT CONFERENCE RESERVATION FORM.docx

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Airfield Rubber Removal and Remarking
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Attachment 6 - Site Visit Conference Reservation Form

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Attachment 6 FA4830-12-R-0007

SITE VISIT CONFERENCE RESERVATION FORM

INSTRUCTIONS: Please complete and return this form to SrA Sheldon Murphy by 2:00 p.m. Eastern Standard Time 11 June 2012, if you wish to attend the pre-proposal conference and site visit. Completed forms may be submitted to the following addresses. Completed forms may also be sent via e-mail to sheldon.murphy@moody.af.mil.

Address: 23rd Contracting Squadron Attn: SrA Sheldon Murphy 4380 B Alabama Rd Moody AFB, GA 31699

Name & Address of Firm: ________________________________________________ Point of Contact: ___________________________________ E-Mail Address: ______________________________________ Phone No.: ________________ Fax No:___________________

Name (Last, First)
Driver’s License # & State

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