MCFB4 Industry Day - Registration Form.pdf

REGISTRATION FORM

Medium Caliber Family Buy 4 Industry Day

Solicitation: TBD

Date: May 28 – 29, 2025 Hilton Garden Inn Rockaway

Rockaway, NJ 07866

Industry Day is scheduled for May 28 - 29, 2025, at the Hilton Garden Inn Rockaway located in Rockaway, NJ. The General Session and one-on-one sessions will be held May 28th with one-on-one sessions continuing May 29, 2025, if required.

Interested vendors must complete the registration form and provide it no later than Wednesday, May 7th, 2025, at 3:00 PM Central Time (CT) to Contract Specialist, Ms.

Julie Schmoll at julie.a.schmoll.civ@army.mil and cc Procuring Contracting Officer, Ms.

Angie Scriven at angela.l.scriven2.civ@army.mil.

NOTE: This is a fillable Adobe pdf file. Complete the form and email to the above addresses.

REGISTRATION IS MANDATORY AND STRICTLY ENFORCED

Business Information

Company Name:

Company Cage Code:

Company Address:

Business Phone Number(s):

Business Size (please check one):

Small Business Large Business

Joint Certification Program Number:

*The Government requires information for each individual attending for any interested vendor. Vendors shall complete this Registration Form, including the information on the following page, for each representative attending. To manage attendance, registration may be limited.

Please indicate below if you desire a one-on-one meeting with the Government. If indicating yes, please provide any information on desired topics of discussion.

Individual Registration

ALL ATTENDEES MUST BE REGISTERED. ONLY REGISTERED ATTENDEES MAY

ATTEND. THIS WILL BE STRICTLY ENFORCED.

The Government requires the following information for each individual attending Industry Day:

Name of Representative #1:

Title:

Work Phone:

Email:

Citizenship:

Name of Representative #2:

Work Phone:

Name of Representative #3:

Work Phone:

Name of Representative #4:

Work Phone:

Release of names and information of Industry Day attendees:

The Government intends to share information obtained in relation to Industry Day including, but not limited to, company names, attendee list, and contact information.

The purpose is to facilitate open communication and subcontracting/teaming arrangements.

Before releasing the information, the Government requests authorization to do so.

Please sign below to authorize release.

SIGNATURE

PRINTED NAME

TITLE