Match-Making Form

City of San Antonio
International Relations Office/ Casa San Antonio
(* required fields)

First Name:
   
Middle name:
   
Last Name:

Email address:


Email address: (please re-enter)
   
Organization:
   
Job Title:

Phone number:
   
Secondary phone number:
   
Fax number:

Address :
   
City:
   
State:

Zip code:
   
Country:
   
Website address:

Year of Incorporation:
   
Sector/Industry:
   
Number of Employees:

Annual Sales (millions USD):





Other

   
Annual Production Capacity:

Sell or buy quantity desired:




Other

   
Percentage of Sales abroad:

Purpose of inquiry:


   
Seeking what type of contact:




Other

   
Potential customer profile:




Other


Currently exporting to what countries:
   
Product or service description:
   
HTS number:

Technical specifications:
   
Product use or application:

Current end-user profile:
   
Price/market description:



Other


Client currently has a:



Other

   
Have you used the services of the CASA San Antonio before?


   
How did you hear about Casa San Antonio?





Other


Type of Service:




Client can speak (language):



Other

   
IRO Data Entry by:
   
If 'other', please type in name: