Attach_3_-Dorm_629_Site_Visit_Reservation_Form.pdf

RFQ: FA5270-16-Q-A075

Attachment 3: Site Reservation Form

PRE-PROPOSAL SITE VISIT RESERVATION FORM

RFQ No. FA5270-16-Q-A075

DORM 629 FURNITURE

Site Visit Date & Location

24 August 2016, 09:00 am JST at Dorm 629, Kadena AB, Okinawa Japan

INSTRUCTIONS: Please complete & EMAIL this form to A1C JanMichael Bunda by 17 August

2016, 12:00 pm, Japan Standard Time (JST) if your company wishes to attend site visit scheduled on

24 August 2016, 09:00 am, JST. Meeting Place is at Dorm 629, Kadena AB, Okinawa.

Buyer: A1C JANMICHAEL BUNDA/18 CONS/LGCA, Bldg 99, Kadena AB

Email: janmichael.bunda@us.af.mil

Tel No.: 098-938-1111, dial 634-4799 (DSN 634-4799)

Fax No.: 098-961-1761

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._________________________________________________________

Name of Attendee Job Title

2._________________________________________________________ Name of Attendee Job Title

B. If your company needs a base pass, you will need to be escorted from the gate 1 base pass office to the site visit location, please indicate the names of the personnel below:

Name: ___________________________ Cell Phone No. __________________

Name: ___________________________ Cell Phone No. __________________

PLEASE NOTE THAT REQUEST FOR SECOND (2

ND

) SITE VISIT SHALL NOT BE ACCEPTED.