| Title of Event: |
PTAC 2006 "NEW CLIENT ORIENTATION AND NETWORKING EVENT. May 25, 2006. REGISTRATION Confirmation 8:30 |
| |
| Company Name: |
|
| Attendee Name: |
|
| Mailing Address: |
|
| City: |
|
| State: |
|
| Zip: |
|
| County: |
|
| Same as Mailing Address: |
|
| Physical Address: |
|
| City: |
|
| State: |
|
| Zip: |
|
| County: |
|
| Work Phone: |
|
| Fax: |
|
| Cell Phone or Pager: |
|
| E-Mail Address: |
|
| URL/Web Address: |
|
| |
| If this is
your company's first time to contact the SWCO PTAC - Columbus, please complete the following: |
| Avg # of Employees (last 3 yrs): |
|
| Avg Yearly Gross Sales (last 3 yrs): |
|
| Date Business Was Established: |
|
Have you previously done business with any government agency or prime contractor?
Yes
No
Don't Know |
| |
Generally describe or list the products or services you wish to offer to the government:
|
List the types of services you might want to receive from our center:
|
How did you hear about us?
Other: |