Attachment 3 Site Visit Reservation Form

ATTACHMENT 3

SITE VISIT RESERVATION FORM

RFQ No.: FA5270-10-T-0019 Installation of Carpet at Various Military Operating Facilities, Kadena AB, Okinawa, Japan.

INSTRUCTIONS: Please complete and return this form to Ms. Kazumi Sakiyama by 6

Apr 10, 11:00 a.m., Japan Standard Time (JST) if your company wishes to attend Site Visit to be held on 7 Apr 10, 13:00 p.m. JST. The form should be submitted to the 18th

CONS/LGCA:

18CONS/LGCA

Bldg 732, Kadena AB, Okinawa

Buyer: Ms. Kazumi Sakiyama

Email: kazumi.sakiyama.jp@kadena.af.mil Tel No.: DSN 634-4789 Commercial No. 098-961-4789 Fax No.: DSN 634-1761 Commercial No. 098-961-1761

Name of Company: ___________________________________

Address: ___________________________________

Point of Contact: ___________________________________

E-Mail Address: ___________________________________

Phone No.: ___________________________________

Cell Phone No. ___________________________________

Fax No.: ___________________________________

Name of the individuals to attend the pre-proposal conference/site visit:

1.______________________________

2.______________________________

Name: ___________________________ Cell Phone No. ________________________

Signature & Date