Industry Day Registration Form (Fillable).pdf

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) &WEXMAC] ☐ Both

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

The Government is offering scheduled 20-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 20-minute Q&A session?

☐ Yes, we would like to request a 20-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.