Confidential Export Development Evaluation Application
Company Name:
 Street Address:
Your Name:
 City / State / Zip Code:
Job Title:
 Email Address:
Your phone number:
 Phone Number:
Company Website:
Company Industry Sector
Please Check All That May  Apply
Product
 Service
 Both
Agriculture
 Automotive
 Aviation
Bio-Technology
 Business Services
 Commercial Construction
Diesel / Earth Moving
 Diesel Power
 Diesel Trucking
Electrical / Electronic
 Energy Exploration
 Environmental
Facilities Management
 Hotel & Restaurant Equipment
 Industrial Equipment
IT / Communications
 Logistics
 Mass Transit
Materials ( Raw or Finished )
 Medical Equipment
 Military
Mining
 Rail Road
 Scientific Equipment
Security Equipment
 Sports / Recreation
 Tourism
Transportation
 Utilities ( Public/Private )
 Workboats / Marine
Other:
Yes
 No
Does Your Company Currently Export?
If Yes, How Many Years Experience?
Less than 1
 1 to 2
 3 to 5
 More than 5
Current Estimated Annual Sales?
Check Current Sales & Distribution
 Company Reps
 Outside Reps
 Both
Other:
Current Export Sales as a % of Annual Sales?
 10%
 15%
 20%
 25%
30%
 40%
 50%+
Check Geographic Area of Interest: Please Check All That May Apply.
Africa
 Asia / Pacific (Except China)
 Australia
Canada
 Central America
 China
European Union
 India
 Mexico
Middle East
 Russia
 South Africa
Export Assistance Preference: Please Check All That May Apply.
New Export Sales
 Expand Export Sales
 Export Financing
Market Research
 Trade Lead Development
 Joint Ventures
Foreign Direct Investment
 Off Shore Manufacturing
 Contract Management
A to Z Export Development
Your Production Export Planning Goals: Please Check All That May Apply.
Increase Current Capacity:
 By 20%
 By 30%
 By 40%
 Over 50&
By 10%
 By 50 %
Maintain Current Capacity
Offset Domestic Production Losses
 Offset Seasonal Production Cycles
Higher Margin Product / Export Sales
Lower G & A
Other
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