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| COMPANY
INFORMATION |
| |
| Name
of your Business |
|
|
Nationality of the Business |
|
| Date
of Constitution |
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|
Name of Contact |
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|
Telephone Number |
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|
Cellular Phone |
|
| Street
Address |
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| Email
Address |
|
| Internet
Address |
|
 |
| |
| COMMERCIAL
ACTIVITY |
|
| Commercial
Activity of your Business |
|
| |
| Describe
the Product or Products that you wish to offer: |
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| |
|
| Your
Business is interested in: |
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| |
|
| Currently,
does your business export: |
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| |
|
| If
your answer was yes, what
countries do you export to: |
|
| |
|
| If
your answer was no, where
would you like to export: |
|
| |
|
| Specify: |
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| |
|
| Approximate
Annual Sales($): |
|
|
100,001 - 500,000 |
|
|
500,001 - 1,000,000 |
|
|
1,000,001 en adelante |
|
| |
| Volume
of Annual Exports in Dollars or by container |
|
| |
|
| Would
you like CCIE to design a Web Site for you: |
|
| |
|
| Please
Specify: |
|
|
| |
|
