HSAAP Facility Tour 3 - Company Registration.pdf

COMPANY REGISTRATION FORM

Holston Army Ammunition Plant (HSAAP) Facility Tour #3

In addition to the immediate company registration form, participants must register by emailing the completed Individual Registration Form and HSAAP Request for Access Form to both Ben Gillen at benjamin.j.gillen.civ@army.mil and Jacob Harrison at jacob.t.harrison15.civ@army.mil no later than June 30, 2022.

Business Information:

Company Name:_______________________________________________________________________ Company Address:______________________________________________________________________ US or Foreign Owned (Name of Country):____________________ Phone Number(s):________________ Company Cage Code:__________________ Small Business:________ Large Business:__________

For Facility Tour:

*Requesting Foreign Subcontractor Access: Yes No Subcontractor Name:

Foreign Ownership (Name of Country):____________________

*Companies requesting foreign subcontractor access must also provide an approved export license from U.S. State Department (DSP-5) and Technology Transfer Agreement (TTA) between the U.S. company and foreign subcontractor.

Release of names and information of the HSAAP facility tour attendees:

The Government intends to release company names and attendees contact information to facilitate subcontracting and teaming arrangements. Before releasing the information contained herein to beta.sam.gov, authorization to do so is required. Please indicate whether company, participant name, title, telephone number and email address associated with those individuals attending Industry Day #3 can be released.

RELEASE INFORMATION: YES________ NO________

If you do not want the aforementioned information to be distributed, please indicate below what information can be shared:

Signature to authorize release of information