>>Capabilities Presentations Questionnaire

Company Information

Step 1 of 2

Note: Please DO NOT include PROPRIETARY information anywhere on this form.

* Required Field

* Presentation for:

Product Service

* Company Name:

Division:

* Is the company US Owned?

Yes No

Headquarter Information

* HQ Address:

* HQ City:

HQ State:

HQ Country:

* HQ Zip Code:

(e.g. 12345) or (e.g. 12345-6789)

* HQ Phone:

(e.g. 123-456-7890)

HQ Fax:

(e.g. 123-456-7890)

HQ Email:

* Company URL:

POC Information

* POC Name:

* POC Address Same
as Headquarters:

Yes No

* POC Address:

* POC City:

POC State:

POC Country:

* POC Zip Code:

(e.g. 12345) or (e.g. 12345-6789)

* POC Phone:

(e.g. 123-456-7890)

POC Fax:

(e.g. 123-456-7890)

POC Email:

* In what country is your
company incorporated?

* In what countries
does your company operate?

* What are the nationalities
and citizenships of your
principal officers and Directors?

* Is your company a U.S. affiliate
or subsidiary of a company
incorporated in another country,
or does your company have
U.S. affiliates or subsidiaries?

* Does your company have
affiliates or subsidiaries that
are incorporated in another
country or countries?