Local Time: Print | E-mail Page
Mobile World Congress 2013
Showtime Registration Form
Fields marked with * are required.
OMB Control No.: 0625-0237
Expiration Date: 1/1/12

Contact Information

Company Name:   *
Salutation:  
First Name:   *
Last Name:   *
Title:   *
Street Address:   *
City:   *
State:  
Zip/Postal Code:  
Country:  

*

Phone:      Ext.
Mobile Phone:  
Email:   *  Receive a Copy
Confirm Email:   *
Web Site:   *

 

Company Profile
Year company was founded*:  
 

Number of employees in the company:*
 

*Type of Business:
 
Manufacturer
Distributor
Service
Other Type of Business: 
 
*Sales Method:  
Direct
Agents
Distributors
Joint Venture
Other Sales Method:
 

*Please describe your product or service:
 
 

*Who are the buyers or end users for your product/service?
 

*Does your product/service contain at least 51% U.S. content?
Yes    No
 
   
Appointment Request / Country Selection
Please select the international markets from which you would like to meet with our industry specialists. (Note: the selection of countries is subject to change any time). The average duration of each appointment is 20-30 minutes.

I want to meet with Industry Specialists from:
 
 
Austria
Bulgaria
France
Greece
Ireland
 
Israel
Italy
Romania
Turkey
Ukraine
 
Although we will attempt to arrange as many appointments as possible, please assist us by listing the priority countries/appointments of most importance to you:
Please provide a brief statement of your company's sales activity in each of the markets you selected above:
By market, please specify question/topic you need the Commercial Specialist(s) to be prepared to discuss:
The U.S. Commercial Service has offices at U.S. Embassies in 82 countries (although not all 82 countries will be represented at the trade show). Can we be of assistance with your exporting efforts to any other markets?
Your Local U.S. Department of Commerce Office

Are you currently working with one of our U.S. Export Assistance Centers in the United States?*
Yes    No  

If yes, which office or Trade Specialist are you currently working with?
 

In the past 24 months, have you or your company utilized any market research reports or trade promotion programs, or received counseling from the U.S. Dept of Commerce or one of its U.S. Export Assistance Centers?*
Yes    No  

If yes, has the program of information provided assisted you in completing your export sales?
Yes    No  

If time allows, could you please explain?

 

  

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.