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Official Name Of Your Company

Name of Owner(s)

Primary Contact Person & His/Her Position

Secondary Contact Person & Position

Complete Address

Country(s) and city(s) you represent

Phone Number

Mobile Number

Fax Number

Postal Code / Zip Code

E-mail Address

Website (if applicable)

Brief overview about your company
(History, field of industry you work at,
size/scale of business)

Brief overview about your company (number of employees, type of customers you serve, years
of experience)

How many locations/outlets
does your business have (locally)?

you have an international existence?
Do you operate your business worldwide?

What can you tell us about your market
in general? What makes it unique?

What are your anticipated first
year sales revenues?
---less than $1 Million$1 to $10 Million$10 Million to $ 25 Million$25 Million to $50 Million$50 Million to $100 Millionmore than $100 Million

Initial number of employees involved in that business
---less than 1010 to 3030 to 5050 to 100100 to 300300 to 500more than 500

Expected Time to begin conducting business
---Immediatelywithin 1 monthfrom 1 month to 3 monthsfrom 3 months to 6 monthsfrom 6 month to 12 monthsMore than 1 year