Attachment 0002 - IMX Industry Day Registration Form (1AprilUpdate).pdf

REGISTRATION FORM

Insensitive Munitions Explosive (IMX) Production Capability Industry Day

Solicitation W519TC-25-R-0041

Date: April 29-30, 2025 Holston Army Ammunition Plant Kingsport, TN 37660

The Government will hold an Industry Day for IMX Production Capability at the Holston Army Ammunition Plant located in Kingsport, Tennessee. Interested vendors must complete the information on this form and provide it no later than April 11, 2025, to Mr. Warren Stropes at warren.l.stropes.civ@army.mil and Ms. Josie Hennings at josephine.l.hennings.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:

US or Foreign Owned (Name of Country):

Company Address:

Business Phone Number(s):

Small Business: Large Business:

*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 (limited to four) per vendor.

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.

mailto:warren.l.stropes.civ@army.mil

Individual Registration

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:

Title:

Work Phone:

Email:

Citizenship:

Name of Representative #3:

Title:

Work Phone:

Email:

Citizenship:

Name of Representative #4:

Title:

Work Phone:

Email:

Citizenship:

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