Membership Application

Contact Information

Company Name

Contact

Direct Telephone

FAX

Email Address

Web Site Address

Physical/Mailing Address

General Company Background

# Years in Business

# Employees

Does your company manufacture a product or have the rights to distribute one or more manufactured products? If yes, please briefly describe:

Export Interest & Experience

Has Your Company Ever Exported? (If not, skip to C)

No
Yes

A) How many export transactions has the company completed in the last 12 months?

B) Which countries has the company exported to in the past?

C) Approximately how many inquiries has the company received from overseas buyers in the last 12 months?

D) From which countries has the company received inquiries?

E) Are there additional countries/regions that the company is interested in exporting to? Please list:

F) Has the company done market research to arrive at these choices? Please elaborate:

Specific Areas in Which Assistance is Needed

Please Select: (Hold down CTRL to select multiples)

Also, we would appreciate it if you would mail a copy of any brochures/literature you may have on the products/services offered by your business.

Thank you for applying our membership. We will contact you following verification of your application data.