Registration_Form.pdf

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MEMPHIS DISTRICT INDUSTRY DAY - SAVE THE DATE
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W912EQ-17-I-0001
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Small Business Industry Day

Location: Southwest Tennessee Community College

(Parish Building – Room 101)

737 Union Avenue, Memphis, TN 38104

Wednesday, May 31, 2017

Name/Title: ___________________________________________________

Company/Firm: ________________________________________________

Address: _______________________________________________________

City/State/Zip: __________________________________________________

Phone ________________________________________________________

E-mail ________________________________________________________

____ LB ___SB Socio-Economic Category _____________________

Any additional employees attending:

Name: _________________________________________________________

Name: _________________________________________________________

RETURN THIS FORM BY E-MAIL TO: Estella.c.blackman@usace.army.mil, with subject line ‘Industry Day”

Please Register Promptly, as space is limited.

mailto:Estella.c.blackman@usace.army.mil

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