Event Registration
Northwest Michigan PTAC

Title of Event: Defense Contract Audit Agency (DCAA) Training
Event Location: Michigan Works! Service Center
Event Address: 400 Quincy St. (8th Floor Conference Room)
Event City: Hancock
Date of Event: June 25, 2020
Start Time of Event: 9:00 am
End Time of Event: 4:00 pm
  * Green Fields are required
Company Name:
Attendee Name:
Physical Address:
Same as Physical Address:
Mailing Address:
Work Phone:
Cell Phone or Pager:
E-Mail Address:
URL/Web Address:
Attendee Type:
If this is your company's first time to contact the Northwest Michigan PTAC,
please complete the following:

Avg # of Employees (last 3 yrs):
Avg Yearly Gross Sales (last 3 yrs):
Date Business Was Established:    [YYYY-MM-DD or MM/DD/YY]
Have you previously done business with any government agency or prime contractor?
Yes No Don't Know
Business Ownership:
Check all that apply. (Defined as 51% owned and controlled.)
Woman-owned Minority-owned Veteran-owned
Service Disabled Veteran-owned
Business Certifications and Determinations:
Check all that apply.
Disadvantaged Business
Certified HUBZone
Small Business
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:
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By submitting this registration I give consent to Northwest Michigan PTAC to provide my company with PTAC client services.