OMB No.: 0625-0237
Expires: 01-31-2013

OIO Business Service Provider (BSP) Registration Form

Fields marked with * are required.

BUSINESS SERVICE PROVIDER CONTACT AND COMPANY INFORMATION
Company Name*:
Contact First Name*:
Contact Last Name*:
Salutation:
Title/Responsibility:
Company Address*:
City*:
State/Province:
Zip Code:
Country*
Phone*:
Fax:
Email*
Web Site*:
Number of Employees*:

CONTACT AND SERVICE INFORMATION AS IT SHOULD APPEAR ONLINE
Please enter your company's contact information and company description in the following fields,
as you would like the information posted on our online Business Service Provider directory.
Check to use Contact Information from above:
Contact First Name*:
Contact Last Name*:
Contact Title:
Contact Phone*:
Contact Fax:
Contact eMail Address*:
Contact Company Address*:
City*:
State/Province:
Zip Code:
Country*
Short Business Service Provider Description*

Please try to provide a short description; less than 75 characters.
Complete Business Service Provider Description*

Describe your company and the service you provide in 500 characters or less. This description may be edited for length and clarity. Please e-mail an electronic copy of your logo as a .jpg or .gif document (save as web file) with a width of exactly 200 pixels and height of up to 200 pixels to your Commercial Service contact.
Business Service Provider Categories*

Please select applicable categories from the list provided below.
I agree to pay the same stipulated fee for each category I choose.

Accounting, Auditing and Tax Services Insurance Services
Advertising Legal Services
Architecture, Interior Design and Furniture Manufacturing and Industrial Production Services
Banking and Financial Services Market Research
Building and Construction Services Marketing, Public Relations and Sales
Business Administration Services Mining and Oil and Gas Services
Business Associations Office Furniture
Business Consulting Office Rental
Business Development Patent and Trademark Law Services
Car Services and Rentals Photographic Services
Chambers of Commerce Printing and Publishing Services
Computer and Internet Services Product Standards, Testing, and Certification
Customs Brokerage Real Estate Services
Debt Collection Regional Economic Development
Distributors, Sales Agents and Importers Relocation services
Education and Training Services Restaurants and Catering
Electronic Components and Supplies Retailers
Engineering Services Security and Personal Safety
Entertainment Services Telecommunications
Environmental Services Trade Show and Exhibition Services
Event Management, Conference Equipment and Facilitation Translation and Interpretation
Export Management Transportation, Freight Forwarder and Storage Services
Graphic Design Travel Facilitation
Hospitals, Clinics and Health Services Vetting/Due Diligence
Hotels and Meeting Facilities Other Business Services
Human Resources

TRADE REFERENCES
Trade References*

Please provide at least two references of companies with whom you have conducted business, U.S. companies if possible.
How did you learn about this program?*

SECURITY
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Submission of business or personal information is voluntary. Please be aware of our Privacy Policy.

Note: A printable copy of this registration will appear next.

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.