Site_Visit_Reservation_Form.pdf

Attachment 3, Site Visit Reservation Form Solicitation: FA5270-19-Q-0047 11 September 2019

PRE-PROPOSAL / SITE VISIT RESERVATION FORM

17 September 2019, Tuesday, 01:00 P.M., Japan Standard Time (JST) at Bldg. 851, Kadena Air Base, Okinawa, Japan

INSTRUCTIONS: Please complete and EMAIL this form to Takeshi Nakamura by 16 September 2019, 03:00 P.M., Monday, Japan Standard Time (JST) if your company wishes to attend join site visit scheduled on 17 September 2019, 01:00 P.M., Tuesday, JST. It is the contractor’s responsibility to verify that this reservation form has been received by 18th Contracting Squadron.

Buyer: Takeshi Nakamura (Bldg 99, Kadena AB) Email: takeshi.nakamura.1.jp@us.af.mil Tel No.: 098-938-1111, Extension DSN 634-4703

Name of Company: ___________________________________________ Address: ___________________________________________ Point of Contact : ___________________________________________ E-mail Address: ___________________________________________ Phone No: ___________________ Fax No: ________________ Mobile Phone No: ___________________________________________

Name of the individuals to attend the site visit: (Maximum of Two (2)

Note: Site visit is conducted at Bldg#851, Kadena Recycle Center, Kadena AB, Okinawa, JAPAN.

1._____________________________________________________________________________________ Job Title Name of Attendee

2._____________________________________________________________________________________

Job Title Name of Attendee

B. If offerors will need to be escorted from the Kadena AB security gate to Bldg# 851, please indicate the names of the personnel below. One time escort will be provided. Meeting place for contractors needing escort is Gate ONE (1) Pass Office, Kadena AB, at 12:30 PM, 17 September

2019, JST.

Name: _____________________________

Name: _____________________________

Signature of Requester: _____________________________ Date: ___________________________________