US Supplier Search Form

OMB Control No. 0625-0143

Expiration Date: xx/xx/xxxx

Company Questionnaire

U.S. Supplier Search

Contact Information

Company Name:      
Address:      
City:      	Zip Code:      
Company Web Site:      
Contact Person:      	Title:      
Contact Tel:      	Contact Fax:      
Contact E-mail:      
Alternate Contact:      	Title:      
Alternate Contact E-mail:      	Alternate Contact Tel:      

Company Information

Company Activity: (Please select all that apply) Manufacturer Distributor/Representative Export Management Company	Service Company Franchiser Other (please specify):
Number of Employees (est.):
Annual Sales: Less than $5 Million $5-10 Million More than $10 Million
Annual Exports (as % of Total Sales): Less than 25% More than 25%
Brief Company Description:

How interested are you in establishing a business connection with {insert foreign enterprise’s name here] for export sales to [enter country or region here]?

Not interested Very Interested

1 2 3 4 5

Would you be able to establish a reliable supply chain to [enter country or region here]:

Strongly Disagree Strongly Agree

1 2 3 4 5

Please name particular products of your company or division that are well-suited

for export to [country name]:

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Please explain what specific advantage(s) you can provide to [enter company name here]:

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Please name factors that could inhibit international sales for your company:

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

What specific innovations can you offer to [enter foreign enterprise’s name here]:

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Would you be ready to travel to [country name] for a technical presentation of your

quote?

Yes No

Do you have [enter foreign language here]-speaking staff members with applicable qualifications that could work on [enter foreign enterprise’s name here] projects?

Yes No

Does your company currently pursue one or several of the following strategies? (select all that apply)

A. Actively seeking business for export

B. Partially moving production to lower cost labor countries

C. Concentrating on core business by outsourcing minor activities

D. Consolidating by selling or spinning off non-profitable divisions

E. Diversification into non-automotive fields

F. Introducing or intensifying Global Sourcing activities

G. Increased efforts in R & D

H. Expansion

I. Actively seeking business from foreign affiliated OEMs

J. Shifting to new products within automotive

Where do you see future business opportunities for your company?

___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

What countries other than the United States are you selling to? (select all that apply)

A. South and Central America

B. Europe, EU member states

C. Non-EU states in greater Europe

D. Japan

E. India

F. Australia

G. Russia

H. All business is within the USA

I. Other (please explain)________________________________________________

What new markets are you targeting to expand future sales?

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

How was your international business established?

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Your satisfaction is our top priority. Please inform us of any questions or concerns and we will work quickly and effectively to meet your needs.

---------//--------

The U.S. Commercial Service Customer Care Hotline is available for you to call toll free Monday through Friday, 9:00 AM to 6:00 PM EST at 1-866-482-8111, or e-mail to [email protected]

________________________________________________________________

This collection of information contains Paperwork Reduction Act (PRA) requirements approved by the Office of Management and Budget (OMB). 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 PRA unless that collection of information displays a currently valid OMB Control Number. Public reporting burden for this collection of information is estimated to be 10 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. Persons wishing to comment on the burden estimate or any aspect of this collection of information, or offer suggestions for reducing this burden, should send their COMMENTS to the ITA Reports Clearance Officer, International Trade Administration, Department of Commerce, Room 4001, 14th and Constitution Avenue, N.W., Washington, D.C. 20230.

________________________________________________________________