Final Registration Form.docx

Standard Missile-3 Block IIB (SM-3 IIB) Industry Day for RFP # HQ0147-10-R-0027 Thursday, July 29, 2010

1. COMPANY NAME:

2. ADDRESS:

3. CITY: 4. STATE 5. ZIP CODE

6. ATTENDEE NAME #1:

7. TITLE 8. U.S. CITIZEN

YES |_| NO |_|

9. TELEPHONE NUMBER: 10. EMAIL ADDRESS:

11. ATTENDEE NAME #2:

12. TITLE 13. U.S. CITIZEN

YES |_| NO |_|

14. TELEPHONE NUMBER: 15. EMAIL ADDRESS:

16. ATTENDEE NAME #3:

17. TITLE 18. U.S. CITIZEN

YES |_| NO |_|

19 TELEPHONE NUMBER: 20. EMAIL ADDRESS:

Note One–on-one sessions will be limited to 30 minutes each. One session per vendor. Sessions will be at 1300, 1345, 1430, 1515, 1600 and 1645 CST.

*A MINIMUM OF A SECRET CLEARANCE IS MANDATORY FOR ATTENDINGTHIS EVENT.

**IT IS THE ATTENDEE(S) AND THEIR COMPANY SECURITY OFFICE’S RESPONSIBILITY TO ENSURE EACH ATTENDEE HAS A VALID AND UPDATED VISIT AUTHORIZATION REQUEST (VAR) AND SECURITY CLEARANCE ON FILE WITH THE MDA SECURITY OFFICE