World Trade Center, St. Louis, MO

Please fill out this application completely.

The accuracy of your responses will enable us to notify you of upcoming opportunities, allow international businesses to contact you through the i-business directory and bring new business your way.

New: Renewal:

*Company name:
*Address:
*City:		*State:
*Zip:
*Main telephone:	*Main Fax:
Website:


Salutation:
*First Name:	*Last Name:
*Title:
*Email:		*Telephone:


Salutation:
First Name:	Last Name:
Title:
Email:		Telephone:


Salutation:
First Name:	Last Name:
Title:
Email:		Telephone:


Salutation:
First Name:	Last Name:
Title:
Email:		Telephone:


Salutation:
* First Name:	* Last Name:
* Title:
* Email:		* Telephone:


Salutation:
First Name:	Last Name:
Title:
Email:		Telephone:

*Category:
*Main product/service:





*Number of Employees (Locally)		(Worldwide)
Average gross annual sales:
*% of sales that are international:

Please complete the following table. This information will assist us in developing networking opportunities, prospect lists for client companies and educational programming.

	*Import	*Export	*Operating Facilities	*Future Business Interests
Americas
Argentina
Brazil
Canada
Caribbean
Central America
Chile
Columbia
Mexico
Peru
Venezuela
Other
None
	*Import	*Export	*Operating Facilities	*Future Business Interests
Western Europe
Benelux
France
Germany
Greece
Ireland
Spain
Switzerland
Turkey
United Kingdom
Other
None
	*Import	*Export	*Operating Facilities	*Future Business Interests
Central/Eastern Europe
Czech Republic
Finland
Hungary
Poland
Romania
Russia
Ukraine
Other
None
	*Import	*Export	*Operating Facilities	*Future Business Interests
Asia
Australia
China
India
Indonesia
Japan
Malaysia
Philippines
South Korea
Taiwan
Thailand
Vietnam
Other
None
	*Import	*Export	*Operating Facilities	*Future Business Interests
Middle East
Israel
Kuwait
Saudi Arabia
Other
None
	*Import	*Export	*Operating Facilities	*Future Business Interests
Africa
Egypt
Kenya
Morocco
Nigeria
South Africa
Other
None

*Level:
Based on number of local employees, please call for your correct amount

* Billing Method:

I prefer to be invoiced
I prefer to pay by credit card

Credit Card Payment Information (if paying by credit card)
Credit card type:	Visa MC AMEX *
Account #:	- - - *
Cardholder's Name:	*
Expiration Date :	*

*Required fields

I hereby authorize World Trade Center Saint Louis to publish the information provided
in the shaded areas on this form within the International Business Directory.

Please mail us a copy of your corporate literature for our International Trade Library.