Site_Visit_Reservation.pdf

Solicitation Number: FA5270-14-T-0151

Attachment 3

SITE VISIT RESERVATION FORM

Relocation of USAF Regional Mortuary from Camp Kinser to Yokota Air Base

INSTRUCTIONS: Please complete and return this form to Ms. Atsuko Izumi by 14 August 2014, 1:00 p.m, Japan Standard Time (JST). If your company wishes to attend Site visit to be held at

9:00 a.m., 15 August 2014, Bldg Number 115, 18 FSS/FSOM Mortuary Unit at Camp Kinser. The form should be submitted to:

18th CONS/LGCA:

Contract Administrator: Ms. Atsuko Izumi

Email: atsuko.izumi.jp@us.af.mil

Fax No.: DSN 634-1761 Commercial No. 098-961-1761

Tel No.: DSN 634-4788 Commercial No. 098-961-4788

Name of Company: ___________________________________

Address: ___________________________________

Point of Contact: ___________________________________

E-Mail Address: ___________________________________

Phone No.: ___________________________________

Cell Phone No. ___________________________________

Fax No.: ___________________________________

A. Name of the individuals to attend the Site visit: (Maximum of two (2))

1.______________________________

2.______________________________

B. If attendee(s) will need to be escorted from the Camp Kinser security gate to the site visit

Locations, please indicate the name(s) of the personnel below:

Name: ___________________________ Cell Phone No. ________________________

Signature & Date______________________________________ mailto:atsuko.izumi.jp@us.af.mil