Industry Day Registration Form (Fillable).pdf

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(CANCELLED)SHIP REPAIR INDUSTRY DAY NOTICE (YOKOSUKA, JAPAN)
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This is a NAVSUP FLCY Industry Day Registration Form used to register companies and their representatives for a Navy Supply Facility (FLCY) industry outreach event.

The form collects company information including name, address, CAGE code, Unique Entity ID (UEI), and business classification or primary NAICS code. Companies may register up to five representatives, with each attendee providing their name, title, telephone number, and email address. Section III requires companies to indicate their subject of interest: Ship Repair, Ashore Contract (including Oily Waste Water treatment), or Both. Section IV offers companies the option to request a scheduled 30-minute one-on-one Question and Answer session with government representatives following the main Industry Day presentation, with slots allocated on a first-come, first-served basis. Companies must submit the completed registration form via email to the Government Point of Contact by the stated deadline, using the subject line "REGISTRATION: NAVSUP FLCY Industry Day – [Company Name]." Companies may include specific questions they would like addressed during the main presentation in their email submission.

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NAVSUP FLCY Industry Day Registration Form

SECTION I: COMPANY INFORMATION

COMPANY NAME AND ADDRESS (Enter Company Name and Address):

CAGE CODE (Enter CAGE Code): UNIQUE ENTITY ID (UEI) (Enter UEI if known):

BUSINESS CLASSIFICATION (Indicate your company’s business size or insert your primary NAICS Code):

SECTION II: ATTENDEE INFORMATION (Limited up to five representatives per company)

(1) ATTENDEE (Name and Title/Company Position):

TELEPHONE NO.: E-MAIL ADDRESS:

(2) ATTENDEE (Name and Title/Company Position):

TELEPHONE NO.: E-MAIL ADDRESS:

(3) ATTENDEE (Name and Title/Company Position):

TELEPHONE NO.: E-MAIL ADDRESS:

(4) ATTENDEE (Name and Title/Company Position):

TELEPHONE NO.: E-MAIL ADDRESS:

(5) ATTENDEE (Name and Title/Company Position):

TELEPHONE NO.: E-MAIL ADDRESS:

SECTION III: SUBJECT OF INTEREST

Please check the specific subject your company is interested in discussing or supporting:

☐ Ship Repair ☐ Ashore Contract [Including Oily Waste Water (OWW)] ☐ Both

SECTION IV: ONE-ON-ONE QUESTION AND ANSWER (Q&A) SESSION

The Government is offering scheduled 30-minute One-on-One Q&A sessions following the main presentation. Time is limited and will be scheduled on a first-come, first-served basis.

Are you interested in scheduling a 30-minute Q&A session?

☐ Yes, we would like to request a 30-minute slot.

☐ No, we will only attend the main presentation.

SUBMISSION INSTRUCTIONS:

Please submit this completed registration form via email to the Government POC by the deadline. Use the Subject Line:

“REGISTRATION: NAVSUP FLCY Industry Day – [Insert Company Name]”. If you have specific questions you would like the Government to address during the main Industry Day presentation, please include your questions in your email.

COMPANY NAME AND ADDRESS Enter Company Name and Address:
CAGE CODE Enter CAGE Code:
UNIQUE ENTITY ID UEI Enter UEI if known:
BUSINESS CLASSIFICATION Indicate your companys business size or insert your primary NAICS Code:
1 ATTENDEE Name and TitleCompany Position:
TELEPHONE NO:
EMAIL ADDRESS:
2 ATTENDEE Name and TitleCompany Position:
TELEPHONE NO_2:
EMAIL ADDRESS_2:
3 ATTENDEE Name and TitleCompany Position:
TELEPHONE NO_3:
EMAIL ADDRESS_3:
4 ATTENDEE Name and TitleCompany Position:
TELEPHONE NO_4:
EMAIL ADDRESS_4:
5 ATTENDEE Name and TitleCompany Position:
TELEPHONE NO_5:
EMAIL ADDRESS_5:
Ship Repair: Off
Ashore Contract Including Oily Waste Water OWW: Off
Both: Off
Yes we would like to request a 30minute slot: Off
No we will only attend the main presentation: Off

File details come from the government source that posted it. Updated .