Conference/Seminar/Tour Registration for Supply Chain 20

Conference / Seminar / Tour Registration for Supply Chain 2012
NOTE: Conference registration will close on October 4th for all individuals without a current NASA-issued
badge in order to allow time for the processing of temporary badges for visitors to access GSFC during the
conference. Registration will continue for those with NASA badges.
There are no fees for the conference, tour or seminar, but all participants (including NASA employees) must register.
Space is limited for the GSFC tour and the seminar, which are offered concurrently during the morning of October
18th
Conference registration information will be used as entered (no all caps!) in the form for conference and visitor
badges so please ensure that your registration form is accurate, fully completed and submitted. Required fields are
marked with an asterisk (*) All those that register will receive confirmation and further conference information via
email.
Please contact the GSFC Supply Chain Management Team or call 301-286-2405 if you have questions.
Step 1: Name Information



id



Prefix



time_date
2012-09-06



Suffix



First Name



Last Name



Middle Initial



Desired Name for Conference Badge



Organization Name for Conference Badge

Step 2: Business/Work Contact Information



E-Mail Address



Confirm E-Mail Address



Title



Organization/Mail Code



Street Address (Work)



City



State/Province



Zip Code



country



Website Address
http://



Phone Number

Step 3: Important Details



Do you have a current NASA Center Badge? (for any Center)
No



Which NASA Center are you affiliated with?
HQ



Are you a Foreign National? (Not a US citizen)

No

Yes



Or are you a U.S. Citizen?

No

Yes



Are you a U.S. Citizen representing a Foreign Entity?

No

Yes



Comments / Questions / Requests



Would you like to sign up for the following?

TOUR (9AM to Noon) of Goddard Space Flight Center (The tour is currently full; select to sign up for Tour

waiting list)

Seminar (9:00 AM to Noon): Workmanship Standards for Space Flight Hardware

NO THANKS



Space is limited for the tour and the seminar, taking place concurrently during the
morning of October 18th.



Participation in the tour / seminar is limited to those registered for Supply Chain
2012.



Are you a confirmed speaker?

Yes

No

N/A



If you have any questions regarding registration, please email Matthew Fox
matthew.fox@nasa.gov or call 301-286-2405



This information collection meets the requirements of 44 U.S.C. § 3507, as amended by Section 2 of the Paperwork Reduction Act
of 1995. The OMB control number for this collection is 2700-0153 and expires on 06/30/2014. The provision of the requested information is
voluntary, but is necessary for conference registration. It is estimated that it will take 4 minutes to read the instructions, gather the
information, and answer the questions. You may send comments regarding this time estimate and suggestions for improving the form to
matthew.fox@nasa.gov