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INAUGURAL VETERAN-OWNED SMALL BUSINESS CONFERENCE

WE NEED YOUR EXPERTISE!

*"From Challenges to Success"*

The Department of Health and Human Services & the Department of

Veterans Affairs cordially invites you to participate in our first
Veteran-

Owned Small Business Conference.

DATE: March 30, 2004

TIME: 7:30 am - 3:00 pm

LOC: Hubert H. Humphrey Building

Small Auditorium & the Great Hall

> 200 Independence Ave., S.W.
>
> Washington, D.C. 20201

Veteran business owners will have an opportunity to meet one-on-one with
key decision makers (contracting and program office personnel) from the
HHS Operating Divisions and other Federal Government agencies. You will
be able to discuss your capabilities and learn about potential
procurement opportunities.

Please visit the website: [www.vetbiz.gov](http://www.vetbiz.gov/) to
register for free attendance and information. This information will be
used to schedule appointments with key decision makers.

Registration Deadline: March 15, 2004

Points of Contact for additional conference information:

Mr. Chuck Southern Ms. Angel Graves

Center for Veterans Enterprise Health & Human Services

1-866-584-2344 x5241 1-202-690-6670

 

***    ***

#### INAUGURAL VETERAN-OWNED SMALL BUSINESS CONFERENCE  

#### March 30, 2004

####  

####   

##### CONFERENCE REGISTRATION FORM 

  

 

Pre-registration is required for security purposes.  Completed forms
will be processed first. 

 

**Name** of Individual(s) Attending Event:

** **

** **

**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Name** of 1st Individual Attending

** **

**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Email 1** Address of Above Individual:

** **

**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Name** of 2nd Individual Attending (optional):

 

**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Email 2** Address of Above Individual (optional)

 

 **Business
Name**:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

** **

**Mailing
Address**:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

** **

**City**:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

** **

**State**: \_\_\_\_\_\_\_\_\_           

 

** **

**Zip**:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

 

**Business Phone**: (          )
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Business FAX:       (        
 )\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**Web Site** (optional):
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

 

 **Type of Business**:  (check all that apply)

(     )   **Biomedical Research:**

**[NAICS: 541380, 541810, 541710, and 541720]{.underline}**

> **[NAICS: 233110, 234110, 235610, and 235950314999, 322299, 339112,
> 339113, 337214, 621511, 622110: 621111, 621330, 621511, and
> 621999]{.underline}**

**[513390, 514199,514191, 541618, and 541879]{.underline}**

Basic, Applied, Adv. Engineering

Research & Development

(     )   **Services:**

**NAICS: 513390, 514199,514191, 541618, and 541879**

Information Technology & ADP, Mailing & Logistical

Data Studies, Telecommunication, Conference Management

(     ) **Healthcare Services:**

**NAICS: 621111, 621330, 621511, and 621999**

AIDS Research

Veterinary

(     )   **Construction:**

**NAICS: 233110, 234110, 235610, and 235950**

A & E, Renovation of existing buildings

Alterations, General

(     **)  Products:**

**NAICS: 314999, 322299, 339112, 339113, 337214, 621511, 622110**

Medical & Surgical Instrument

Equipment

Textile Goods

Office Supplies

Furniture

Chemicals

Paper Products

(     )   **Other Services:**

 

 

You may use the numbers from the North American Industry Classification
System list of products and services available online at
[www.census.gov](http://www.census.gov/) to identify your industry
codes. 

 

**Primary NAICS**:  \_\_\_\_\_\_\_\_\_\_\_

 

Alt NAICS:   \_\_\_\_\_\_\_\_\_\_       Alt NAICS:  \_\_\_\_\_\_\_\_\_\_