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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:   *
First Name:   *
Last Name:   *
Title:   *
Street Address:   *
City:   *
Zip/Postal Code:  


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:
Other Type of Business: 
*Sales Method:  
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:
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?



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