QuickTake
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OMB Control No.: 0625-0237
Expiration Date: 11/30/12

I am interested in a QT service

Yes*
My company is an American firm or at least 51% U.S. content

I am interested in a QT in the following industry sector*


Company Information

Company Name*


Contact Person*


Email address*


Telephone Number*


Company Activity
What is your company's activity?*


Briefly describe the Unique Selling Proposition (USP) of your product or service.*


Briefly describe your Objectives in Europe
 

Do you have formal representation in Europe if so, list where

Austria Belgium Bulgaria Croatia Czech Republic Denmark Finland
France Germany Greece Hungary Italy Kazakhstan Netherland
Norway Poland Romania Russia Slovak Republic Slovenia Sweden
Switzerland Turkey Yugoslavia Ukraine United Kingdom    


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