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International Buyer Program
Interest Registration Form
Please indicate the name of the trade show in the U.S. you are interested in attending under the objectives section.
Fields marked with * are required.
OMB Control No.: 0625-0143
Expiration Date: 1/1/12

Contact Information

Company Name:*  
Salutation:  
First Name:*  
Last Name:*  
Function:*  
Address:*  
City:*  
State:*  
Zip Code:*  
Country:*  
Phone:      Ext.
Fax:  
Cell Phone:  
Email:*      Receive a Copy
Confirm Email:*  
Web Site:  
Please describe your company/products/services and objectives:
 
Please indicate if you will be visiting EVENT:
Yes
No
Undecided
If exhibiting, please enter your booth number:  
Please assist me in making contact with the companies selected:
Yes  No

 

  

Public reporting for this collection of information is estimated to be 5 minutes per response, including the time for reviewing instructions, and completing and reviewing the collection of information. All responses to this collection of information are voluntary, and will be provided confidentially to the extent allowed by law. Notwithstanding any other provision of law, no person is required to respond to, nor shall any person be subject to a penalty for failure to comply with, a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB control number. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Reports Clearance Officer, International Trade Administration, Department of Commerce, Room 4001, 14th and Constitution Avenue, N.W., Washington, D.C. 20230.