Industry Focused Promotion Program International Buyer R

OMB Control No. 0625-0237

Expiration Date: 4/31/2012

Industry Focused Promotion (IFP) Program

International Buyer Registration Form

[Introductory/explanatory text tailored to specific event type.]

Fields marked with * are required.

C

ontact and Company Information

Company Name*

F

irst Name*

L

ast Name*

S

V

alutation

T

itle/Responsibility

C

ompany address*

City*

P

rovince

P

ostal Code

Country*

P

hone

C

ell

F

ax

E

http://

mail*

Web site

Please describe your company/products/services and objectives:*

(For the franchise industry: please indicate your investment capacity in U.S. dollars)

P

V

lease describe your status:*

P

lease indicate whether you will be visiting <Show name>? Yes No Undecided

I

V

f exhibiting, please enter your booth number:

Please assist me in making contact with the companies selected:

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.