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Sub-Saharan Africa Trade Mission

Export.gov Account Info (OMB No.: 0625-0147 Exp. 06/09)

Thank you for your interest in the Sub-Saharan Africa Trade Mission. In order to participate in the Mission, you will need to complete the following interest sheet and an application (provided in the link below).

If you would prefer to download a PDF version of the form below and fax it to our office, please click here . Fax or email the completed form to 202-482-9000 or africamission@mail.doc.gov. If you are a U.S. company in Africa, please add "Africa" to the city name in the city field in the application below.

Please answer all questions as thoroughly as possible. Your application for this mission will be vetted by the Department of Commerce to ensure this Mission is the best fit for your firm.

After you have completed and submitted this form, you will receive an email confirming your application and you will be contacted shortly about your application. Please call Jessica Arnold at 202-482-2026, if you have any questions.

Click here for the Mission Statement.


Fields marked with an asterisk * are required.


Participant Information
*Participant Salutation:
*Participant First Name:
*Participant Last Name:
*Participant Title:
*Participant Phone:
*Participant Fax:
* Participant Email:
*Please provide a description of the participant's professional background (biography):

Contact Information
(If different from participant information.)
Contact Salutation:
Contact First Name:
Contact Last Name:
Contact Phone:
Contact Fax:
Contact Email:

Company Information
*Company Name:
*Company Street Address:
*City:
*State:
*Zip:
*Website:
*Company's State of Incorporation (Registration):
Other:

*Number of Employees:
*Please provide a description (company profile/"about us") of the company:
*Industry Sector(s) and Principle Line(s) of Business:
*Current Business Activity in Africa (if applicable)
(max. 500 characters)

characters typed:

Export Experience
*Has your company exported the products or services before?:		 Yes No
*Has your company exported the products or services to Africa before?: Yes No
*Is the good or service manufactured or produced in the United States? Yes No

Company’s/Participant’s Goals and Objectives for the Mission
Please rank Company's/Participation's top three objectives in participating in this trade mission (1=highest, 3=lowest):

Finding a sales representative
Finding licenses
Finding joint venture partners
Exposure to new business prospects
Product testing/market research
Immediate Sales
Finding a distributor
Government meetings
Other (specify below):

characters typed:
*Please describe the nature of Company’s/Participant’s business, as it relates to the goals of this trade mission (e.g., Company is a manufacturer of telecommunications equipment which is bidding on a contract to provide cellular phone equipment to Country A. In addition, Company provides consulting services in the infrastructure, energy and environmental services sectors to companies interested in exporting to Countries A and B.):
(max. 500 characters)

characters typed:
Company/Participant may provide any information that it considers relevant to the purpose of the trade mission regarding diversity and/or traditional under-representation in business:
(max. 500 characters)

characters typed:

The U.S. Department of Commerce is authorized to collect this information under 15 U.S.C. 1512, Reorganization Plan No. 3 of 1979 (5 U.S.C. Appendix 1). We use this information to determine whether or not the applicant should be selected to participate in the business mission, as set forth in the mission statement.

Although you are not required to respond, no agreement may be concluded for the Company’s/Organization’s participation in a U.S. Department of Commerce business mission unless a completed Business Mission Application has been received. If information is not provided, the Department may either reject the application or take the lack of information into account when it evaluates the applications relating to the mission.

Information provided to the Department of Commerce in connection with the business mission may be made publicly available. However, to the extent allowed by law, including the Freedom of Information Act, the Department will withhold any information that it determines to be confidential commercial information, the disclosure of which would be likely to cause Company/Participant substantial competitive harm. To assist in our determination, please identify the information you believe meets those criteria.

The Paperwork Reduction Act of 1995. Not withstanding any other provision of law, the Paperwork Reduction Act of 1995 says that no one is required to respond to a collection of information unless it displays a valid OMB control number, which for this form is 0625-0147. The required to complete this information is estimated to be 30 minutes per response, including time to review instructions, search data resources, gather data needed, and complete and review the information collection. If you have comments about this burden estimate or any other aspect of this collection of information, including suggestions for improving this form or reducing this burden, please write to: Reports Clearance Officer, Office of the Secretary, U.S. Department of Commerce, Room 6611, 14th Street and Constitution Avenue, N.W., Washington, DC 20230.

 
                               Please click submit once only.
 
                                       

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