MFAES_Registration_Form.doc

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Medical Facilities Architect-Engineer Services (MFAES) Pre-synopsis conference
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W912DY-12-R-0023
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MFAES registration form

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Attendee_Sign-In_MFAES_Pre-Synopsis_(14Nov12).pdf PDF
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Date: ________________

REGISTRATION FORM

Medical Facilities Architect-Engineer Services (MFAES)

Unrestricted Suite with awards and work reserved for Small Business Pre-Synopsis Conference November 14, 2012 McKenzie Room at the Kingman Building

Humphreys Engineering Center Support Activity (HECSA)

7701 Telegraph Road

Alexandria, VA 22315

Full Name of Firm(s)/Joint Venture:

Address: ________________________________________

Phone Number with Area Code: _______________________________________ Name of Attendees (First, Last, Title, Email) All firm(s)/JVs are limited to 2 attendees:

1. _____________________________________________________________________

U.S. Citizen ___ Yes ___No

2. _____________________________________________________________________

U.S. Citizen ___ Yes ___No

Indicate designation:

SB: __________ LB: __________

Please e-mail this registration form to MFAES-HNC@usace.army.mil. The subject line of the email should read: MFAES Registration Form.

Last day to register is November 7, 2012. Reserved seating will be provided for firms that register. On-site registration will NOT be available.

File details come from the government source that posted it. Updated .