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OMB Control No.: 0625-0237
Expiration Date: 1/31/15

Contact Information

Company Name:   *
Full Name:   *
Title:   *
Address:   *
Phone:    *  Ext.
Cell Phone:  
Email:   Receive a Copy
Confirm Email:   *
Web Site:  

Company Profile

Year company was founded:*

Number of employees in the company:*

Nature of Business:*
Investment Firm
Service Provider
Please indicate your industry sector*  

I am looking for the following investment opportunity(ies):*
Joint Venture
Other, please specify
Green Field Investment
Merger & Acquisition

I am interested in investing in the following sector(s) in the U.S.:*
Commercial & Industrial Real Estate  
Other, please specify
Logistics & Distribution
Please provide a brief description of your company:*

U.S. Representative(s) Matchmaking Session*
Please indicate the U.S. Representative(s) with which you wish to set up an appointment by ticking the appropriate box(es):
Arkansas - Arkansas Economic Development Commission
California - City of Carson 
California - East West Bank
California - Los Angeles County Economic Development Corporation
California - PrincewaterhouseCoopers, LLP
Connecticut - Department of Economic and Community Development  
Florida - Enterprise Florida  
Guam - Guam Visitors Bureau
Illinois - Great Lakes Regional Center, LLC 
Illinois - Morton Economic Development Council  
Illinois - State of Illinois Far East Office  
Iowa - Iowa Development of Economic Development China Office
Mississippi - Mississippi Development Authority China Trade Office  
New Jersey - Choose New Jersey  
North Carolina - Charlotte Chamber of Commerce
North Carolina - Dixon Hughes Goodman
North Carolina - Elliott Davis, LLC/PLLC  
North Carolina - North Carolina Department of Commerce  
Ohio - City of Canton  
Ohio - Cleveland Plus USA / Team Northeast Ohio   
Ohio - Columbus2020, 11-county Economic Development Office   
Ohio - MidAmerican Global Ventures   
Ohio - Porter Wright  
Rhode Island - Rhode Island International Group
South Carolina - South Carolina Regional Development Alliance, 9-County Economic Development Office
Virginia - State of Virginia China Office
Virginia - Virginia Economic Development Partnership   
Washington - Washington State Department of Commerce    
Washington - World Trade Center Tacoma   
Center of American States, AZ, DC, MD, MN, WI
Session(s) Interested*
Please select the session(s) that you would like to participate at:
2:00 - 5:00 pm SelectUSA Fair  
2:00 - 2:30 pm Matchmaking Session 
2:30 - 3:00 pm Matchmaking Session 
3:00 - 3:30 pm Matchmaking Session 
3:30 - 4:00 pm Matchmaking Session 
4:00 - 4:30 pm Matchmaking Session
4:30 - 5:00 pm Matchmaking Session  



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