Tell Us About You
Our staff prepares to assist export ready companies by assessing the firm's current interest and needs, previous international experience and organizational/product capabilities. This survey, which precedes the initial consultation, is the first step in this process. Please complete the following survey, submit it, and a trade specialist will contact you after reviewing the information provided.
Fields marked with * are required.
OMB Control No.: 0625-0237
Expiration Date: 1/1/12

 

Contact Information

Full Name:*  
Title:*  
Address:*  
City:*  
State:*  
Zip Code:*  
Country:*  
Phone:  
Fax:  
Phone:  
Email:*  

 

Company Information  
Company Name:*
Website:

Number of employees in the company:
 

Export Experience:
 

Business Type:
 

Product Description:

*Is your product/service at least 51% U.S. content?
Yes    No  

Business Interests:
Please select your industry:*
 

Please select countries:*
 

 

  

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.