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Exporter Response Form:

Ex-Im Bank has export finance consultants in your region to assist you with your export financing challenges. To better understand your business, therefore, we would appreciate your providing the following information. All information will be treated as business confidential.

Note: fields marked with an asterisk (*)are required in order to submit this form successfully.

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Name
*First:    *Last:

*Title:

*Company:

*Address:

*City:

*State:

*Zip:

*E-mail address:

Web Site:

*Phone:

Fax:

My company is: Woman-Owned Minority-Owned Environment-Related

Please contact me. I am interested in: (fill out the information as appropriate)
Protecting against nonpayment by my foreign buyer
Getting loans to produce goods or priovide a service for export
Helping my buyer obtain financing

My company is a: Manufacturer Wholesaler/Distributor Service Provider

Number of employees:

(including parent and affiliates)

Currently exporting the following products:

*Product and % U.S. Content for each:

*Company currently exports to (select more than one country by holding down the Control key and clicking):

We provide the following payment terms to our foreign buyers:
Cash in Advance
Open Account
Letters of Credit
Credit Card
Progress Payment

My company's annual export sales dollar volume is:

My company's primary bank is:



Ex-Im Bank ExporterNews Response Form
Revised: September 29, 2008