Vendor_Registration_Form.docx

Vendor Registration TEIS IV Industry Day

Company Name:

Division:

DUNS Number:

CAGE Code:

Name of Company Representative:

Title of Company Representative:

Hold a Government-issued CAC: yes/no

Email Address:

Telephone Number:

Mailing Address:

Your company’s business size under NAICS code 541512 (Computer System Design Services, $25M):

Large:

Small: (Specify type, if applicable) 8(a):

Small Disadvantaged Business:

Woman-Owned Small Business:

HUBZone:

Veteran-Owned Small Business:

Service-Disabled Veteran-Owned Small Business:

List aspects of the solicitation you would like addressed at the conference:

* Make a NOTE: Each Contractor is only allowed to have five (5) attendees for this event. *

**NOTE** Return this form NLT 26 September 2019, at noon, AZ Time.