Export.gov Client Registration Form

OMB Control No.: 0625-0237

U.S. Organization - Register to Access

Expires: 4/30/2012

Thank you for your interest in exporting. Our goal is to assist U.S. companies to identify and pursue export opportunities in international markets. As part of the President's National Export Initiative we are committed to helping you to expand your exports by connecting you to all the trade promotion resources of the U.S. Government. This registration form collects basic information that will assist us in beginning the process of assisting you with your next export sale.

Eligibility for certain services is limited to U.S. exporters seeking to export products and/or services that contain a majority U.S. content (see "Instructions" below for definitions of U.S. content).

If you have any questions regarding the registration process, please complete our Website Feedback form.

Completing the registration process should take approximately 5 minutes. Field titles that are processed by "*" are required fields and must be completed.

User Registration

	Salutation (Mr./Ms./Dr.):
*	Contact First Name:	* Required
*	Contact Last Name:	* Required
	Title Within Company:
*	Email Address:	* Required * Not a valid e-mail address.
*	Confirm Email Address:	* Required * Email Address must match. Please check both.
*	Business Name:	* Required
	Dunn & Bradstreet No.:
	Business Address Line 1:
	Business Address Line 2:
	Business City:
	Business State:
*	Business Zip Code:	* Required
	Business Country:
*	Daytime Phone:	* Required Not a valid Phone Number
*	Business Web Site:	* Required
*	Select Your Industry Sector(s):	* Required
*	Number Of Employees in Business:	* Required
*	Estimated Annual Sales	* Required
*	Countries Your Business is currently Exporting to (select up to 5):	* Required
*	Estimated Percentage of Annual Sales derived from Exporting?:	* Required
*	How did you find us?	* Required
Please enter a Login Name and password. These will be used to register you for the Export.gov website. This Login Name and password will be required to view Trade Leads and Market Research on the Export.gov web site.
*	Login Name	* Required Login Name must be 5-25 nonblank characters.
*	Password	* Required Password must be 8-20 nonblank characters.
*	Confirm Password	* Required * Your Password must match. Please check both.
We ask that you allow us to help you to expand your exports by connecting you to relevant trade resources of the U.S. Government by providing your consent below: I authorize Export.gov to share our company and product information with other Trade Promotion Agencies of the U.S. Government. I authorize Trade Promotion Agencies to contact me. Upon clicking submit, you will receive an e-mail documenting your registration for this initiative and the Export.gov website. You will be directed to a page that will provide you with additional information about the industry you selected.
Definitions: U.S content for manufactured goods=[ex-factory price of a good] minus [aggregate value contributed by non-U.S. or foreign sources(e.g., costs or payments to foreign suppliers/providers/employees not resident in the United States)]. U.S. content for services=[contract value of the service whether delivered in the U.S or overseas] minus [aggregate value contributed by non-U.S. or foreign sources(i.e., costs or payments to foreign suppliers/providers/employees not resident in the United States]. Instructions: E-Mail Address When entering your e-mail address, please enter the e-mail address of your business and not a personal e-mail address. Drop-Down Lists The drop-down lists for `Number of Employees in Business`, `Estimated Annual Sales` and `Estimated Percentage of Annual Sales Derived From Exporting` only allow customers to make one selection. However, the `Select your industry sector(s)` and `Countries Your Business is Currently Exporting to` allow customers to make more than one selection. To select more than one response, hold down the CTRL button on the keyboard while clicking on the selections with the mouse. As they are selected, they will appear highlighted. Login Name The Login Name must be a minimum of 5 characters in length Password The password must be a minimum of 8 characters long. This report is authorized by law (15 U.S.C. 1512 et seq., 15 U.S.C. 171 et seq.). Public reporting for this collection of information is estimated to average 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 confidentiality to the extent allowed under the Freedom of Information Act. 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. OMB No. 0625-0237; Expires: 04/30/2012