Contact/Organization/Events and Activities Information

OMB Control No. 0625-0143

Expiration Date: xx/xx/xxxx

Contact Questions

Contact Types:	Data:
Primary	Salutation
Administrative	First Name
Alternate	Last Name
Purchaser	Title
Recipient/End User	Telephone
Requestor	Fax
Decision Maker	Email
President/CEO	Cell/Mobile Number
Auditors	User ID and Password
Shareholders
Board of Directors
International Marketing Manager
Banker
In-country representative
Mission sponsor
Principal US Subcontractors
Organization Types:	Data:
Client Organization	Name
Associate organizations	Address 1
Division or Subsidiaries	Address 2
Ownership/Parent Organization	City
Bank	State
Corporate	Zip code
Headquarters	Website
Sponsoring organization	Telephone
Organization Type:	Data:
	Manufacturer
	Service provider
	Educational Institution
	Franchisor (Master, Unit)
Client Type:	Data:
	US organization
	Foreign organization
	Student/General Public
	Researcher
	Other
General information:	Data:
	Name and contact info for company official in charge of international sales/marketing
	Name and contact information for company official in charge of financing
	If this company is a subsidiary, the parent company(ies) and any controlling individual(s)
	Are you currently working with a US Export Assistance Center, Dept of Commerce, US Embassy or other government organization
Domestic only
	Product/service contain 51 percent US content
	Share information with other TPCC agencies
International only
	Agent/Rep/Distributor
	Importer
	Area Developer
	Delegation

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