DOE HUBZone Open House Co-Sponsored by KCNSC and Pantex

Registration Form

Please complete the form below to register for the DOE HUBZone Open House on August 19, 2019.

Space is limited and registrations will be confirmed by email from the KCNSC Small Business Program Manager on a first-come, first-served basis. We look forward to seeing you August 19!

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* 1. Registration Information

Company Name

Full Legal First Name

Nickname (for Nametag)

Full Legal Last Name

Title

Email Address

Phone Number

Street Address

City

State

Zip Code

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* 2. Are you a US Citizen?

Yes

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* 3. Are you 18 years of age or older?

Yes

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* 4. Is your company an SBA certified HUBZone?

Yes

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* 5. List any additional socio-economic types that apply to your company.

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* 6. Which DOE Sites (if any) are you currently doing business with?

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* 7. How many consecutive years have you been doing business with one or more DOE Sites?

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* 8. What is your DUNS Number?

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* 9. What sector of goods/services do you provide?

Primary NAICS Code

Second NAICS Code

Third NAICS Code

Other Important Information about your Company

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* 10. What is your main reason for attending?

Networking/Matchmaking

Learning about HUBZone regulation changes

Learning about DOE/Honeywell/CNS requirements

Finding HUBZone businesses to subcontract with

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* 11. If you would like a 2nd representative from your company to attend this event, please enter their contact information below so that we can send them an invitation to register.

Additional Participant's Name (First & last)

Additional Participant's Email