Please fill out this form for membership. Information will be kept strictly confidential and used for our data bank.






Name of Company:

Name of Designated Representative:

Designation of the Representative

Adress of the Company:
Post Box No:

Telephone:

Telex No:

Fax No:

Business relation with USA:
(Type of business/name and address of business associate/s in the USA)
Branches / Factory/ Overseas Office
Address:

City

P.O. Box:

Telex:

Phone:

Email:

Fax:

Estiblished as:
ManufactureImporterAgentDistributorRetailerExporterService IndustryIntendorWholesalerOther

Legal Status:
ProprietorshipPvt. Ltd. CompanyCooperativePartnershipPublic Limited Co.Other
Parent Company (If applicable)

Subsidiary/ies, if any

Manufacturing License agreement, if any

Capital Paid Up (In Rs):

Establishment Year:

Is your products are available for export(if applicable)
YesNo

If answer is yes, please specify product type, quantity available

Available of sales Aids/Promotional/Publicity Materials

If yes, please describe

Nature of business dealing in USA, please describe

Give name and address of business associate in the USA

Any other relevant information

Person Submitting the above information
Name

Capacity

Date

Upload Document: