Fields marked with * are required.
OMB Control No.: 0625-0143
Expiration Date: 1/31/15

Contact Information

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


Company Profile  
Year company was founded:  

Number of employees in the company:*

*Type of business:

*Sales Method:
Joint Venture

*Please describe your product or service:

*Who are the buyers or end users for your product/service?

*Is your product/service at least 51% U.S. content?  To participate in this program, you must meet this criteria.
Yes    No  

*Exhibit booth number at NRA Show 2014

Appointment Request / Country Selection
Please select the international markets for which you would like to meet with our industry specialists. Each appointment can last up to 20-25 minutes.  If your products are food/beverage, please note which specialists from the below markets are available to meet you.  This list is subject to change without notice.
Costa Rica
Ecuador - all except food/beverage products
Egypt - all except food/beverage products
Egypt - food/beverage products only
Pakistan - all except food/beverage products
Russia - all except food/beverage products
Industry & Trade Policy
Ex-Im Bank (export finance)

Although we will attempt to arrange as many appointments as possible, please assist us by listing the 3-5 priority countries/appointments of most importance to you:

Please provide a brief statement on your company's sales activity in each of the markets you selected above:

By market, please specify question/topic you need the Commercial Specialist(s) to be prepared to discuss:
*Where would you like your meeting(s) to take place?  

Please note that if you choose to meet at your booth rather than the ITC we will not assign specific meeting times; our specialist(s) will visit your booth during the show, allowing them to see your products/services. If you are initially unavailable, they’ll look to arrange a better time to stop by.  If you choose to meet at the ITC, we will set specific meeting dates/times.

Exhibit Booth    International Trade Center (ITC), Room N-228

Are there any times you will NOT be available for meetings on May 17-19?  If so, when are you unavailable?

The U.S. Commercial Service has offices at U.S. Embassies in approximately 75 countries (although not all will be represented at the show).  Can we be of assistance with your exporting efforts to any other markets?


Your Local U.S. Department of Commerce Office
Are you currently working with one of our offices/U.S. Export Assistance Centers in the United States?*
Yes    No  

If yes, which office or Trade Specialist are you currently working with:

In the past 24 months, have you or your company utilized any market research reports or trade promotion programs, or received counseling from the U.S. Dept of Commerce or one of its U.S. Export Assistance Centers?*
Yes    No  

If yes, has the program of information provided assisted you in completing your export sales?
Yes    No  

If time allows, could you please explain?



Public reporting for this collection of information is estimated to be 5 minutes per response, including the time for reviewing instructions, and completing and reviewing the collection of information. All responses to this collection of information are voluntary, and will be provided confidentially to the extent allowed by law. Notwithstanding any other provision of law, no person is required to respond to, nor shall any person be subject to a penalty for failure to comply with, a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB control number. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Reports Clearance Officer, International Trade Administration, Department of Commerce, Room 4001, 14th and Constitution Avenue, N.W., Washington, D.C. 20230.