Industry_Day_Site_Visit_Registration_Form_03132018.docx

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Aegis Ashore Missile Defense Test Complex (AAMDTC) Operations and Support (O&S) Services
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HQ0276-17-R-0003
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AAMDTC Industry Day / Site Visit Registration form

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Aegis Ashore Missile Defense Test Complex (AAMDTC) Industry Day/Site Visit

11 April 2018, 8:00 a.m. – 15:30 p.m.

Hawaii-Aleutian Standard Time (HAST)

MDA/Pacific Missile Range Facility, AAMDTC Deck House Support Building (DHSB) B1135 Kekaha, HI 96752

Note: Open to United States Government Agencies and their Contractors Only

Company Name:_____________________________________
Company Address:_____________________________________
_____________________________________
_____________________________________
Cage Code:_____________________________________
Point of Contact:_____________________________________
Telephone:_____________________________________
Fax:_____________________________________
Email:_____________________________________
Attendee(s):(1) __________________________________
(Name, Position &(2) __________________________________

Nationality)

Special Needs Requirement: ______ Yes_______ No
If yes, please indicate_____________________________________
_____________________________________

IMPORTANT: All attendees must have a SECRET Clearance, and must have submitted a Visit Access Request (VAR) in accordance with Visit Procedures. Attendees will be required to present a CURRENT photo ID (driver’s license, military ID, Company ID, or passport) matching the information provided above upon check-in. Please allow sufficient time for the check-in/verification process.

Please submit by 5:00 p.m. EDT, 20 March 2018, via email to PMRFMaintainers@mda.mil. A confirmation email will be sent upon verification of CAGE code. Attendee substitution requests may be submitted to the same email address by 5:00 p.m. EDT, 28 March 2018.

If you desire your company status to be included on the list, please select from the following:

___Woman Owned Business; ___ Small Business; ___ Small, Disadvantaged Business; ___ Service Disabled Veteran-owned Small Business; ___ Firm located in SBA HUBZone; ___ Large Business

If you desire your potential bidder status to be included on the list, please select from the following: ___ Prime Contractor ___ Subcontractor

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