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Contact Information

Company Name:*  
Full Name:*  
Title:*  
Address:*  
City:*  
State:*  
Zip Code:*  
Telephone:*  
Fax:  
Email:*  
Web Site:  


Company Profile  
Year company was established:*  
 

Type of company*:
 
Manufacturer
Distributor
Export trading company
Service
Other  

Sales Method:*
 
Direct
Agents
Distributors
Joint Venture
Other

*If you are not a manufacturer, do you or your firm have the documented right to export the product or service?*
Yes     No     Not applicable  

*Is your product/service at least 51% U.S. content?
Yes     No  

Total annual sales (optional)
 

Extras as percentage of total sales:
 

Number of employees in the company:*
 

Do you have an export promotional budget?
Yes     No  

Please select your industry:*
 
 


Company Background*

 

Export Description
Did you make your first ever export sale in the past 12 months?*
Yes     No  

Have you appointed agents or distributors abroad?*
Yes     No  

Export experience/objective*
New to export
New to market
Increase to market
 

Countries you did export to*

Amount of export sale*
(Enter each sale separately)

Please specify the approximate amount in USD (whole numbers only).
1.
2.
3.
4.
5.

 

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