AFCAA_Cost_Estimating_Modeling_Registration_Form_20151231.docx

INDUSTRY DAY

for AFCAA Cost Estimating Modeling (CEM) Effort/Support FA7014-16-R-5004 (Draft)

1500 W Perimeter Road Suite 5440 Jones Building JB Andrews NAF, MD 20762

Please complete the attached form and send to Ms. Cynthia I. Harper, Contract Specialist at cynthia.i.harper.ctr@mail.mil and copy Mr. Donald Morgan, donald.w.morgan3.civ@mail.mil by 6 January 2016 at 11 a.m. Eastern Time. Any questions will be addressed to both Ms. Harper and Mr. Morgan via email. NO PHONE CALLS WILL BE ACCEPTED.

If any of the team does not have a current DoD CAC or Military ID then please follow the instructions for the Visitor Access to Andrews Procedure:

http://www.andrews.af.mil/units/andrewsvisitorcenter/index.asp

Below is the Visitor Pass form to be sent to the Visitor Center ASAP for them to approve the day pass for the Industry Day. It is the responsibility of the vendor to follow the process and gain access for the day to attend the Industry Day meetings.

REGISTRATION FORM

for AFCAA Cost Estimating Modeling (CEM) R&D Effort/Support Industry Day FA7014-16-R-5004 (Draft)

· No more than two (2) attendees are allowed per company/industry team.

· Companies and industry teams shall not submit multiple registration forms in order to exceed the attendee limitation.

· Space is limited to the first forty (40) people registered.

Please provide the following information for each attendee:

COMPANY/INDUSTRY TEAM NAME:

Please indicate your business status:

Small Business: Yes No Large Business: Yes No

Please indicate your first and second preference for a time slot for the one-on-one meeting on 12 Jan 2016:

3:30 to 3:55 PM

4:00 to 4:25 PM

Our office will contact each POC for the requesting vendor by COB on Friday, 8 Jan 2016 to confirm the time slot available.

If you have any questions, responses or comments, please submit them along with your registration. Our Team is looking forward to your participation in the Industry Day for the CEM effort.

Visitors_Pass_Industry Day.pdf

JTC JTC

Last Name First Name

E-Mail Address Contact Number

Last Name First Name Middle Name DOB DL State/Number Start Date End Date

DO NOT SEND THIS REQUEST FORM WITH DOB AND DL NUMBER FROM A COMMERCIAL/PERSONAL EMAIL ACCOUNT (E.G. YAHOO); IF YOU CANNOT SEND FROM GOVERNMENT EMAIL ADDRESS, PLEASE DROP OFF FORM AT VCC.

Visitor Control Center email: usaf.jbanafw.afdw-staff.mbx.11-ssptf-visitor-center@mail.mil

PRIVACY ACT 1974- Contents shall not be disclosed, discussed, or shared with individuals unless they have direct need-to-know in the performance of their official duties. Deliver this document directly to the intended recipient. DO NOT drop off with a third-party.

*MUST BE DELIVERED A MINIMUM OF 72 HOURS PRIOR TO VISIT*

Visitor Information

11th Security Support Squadron/Visitor Control Center

Destination

Revised 19 June 2015

Military / Civilian Sponsor Information

Unofficial Visitor Base Pass Request

1288588569E

Sticky Note

Update the names of the team (2 allowed) for the name, DOB and Driver's License. The start date will be 12 Jan 2016 and end date 12 Jan 2016 with the address listed as: 1500 W. Perimeter Rd, Suite 5440, Jones Building, JBAndrews.

Sheet1

Last Name: Morgan

First Name: Donald

EMail Address: donald.w.morgan3.civ@mail.mil

Contact Number: 240-612-2995

EMail AddressRow1:

Last NameRow1: DOE

First NameRow1: JOHN

Middle NameRow1: CARTER

DOBRow1: 12-Dec-80

DL StateNumberRow1: xxxx-xx-xxxxx

Start DateRow1: 12-Jan-16

End DateRow1: 12-Jan-16

DestinationRow1: 1500 W. Perimeter Rd STE 5440

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