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): 1.5 to 5 million 5 to 20 million 20 to 50 million 50 to 100 million more than 100 million Other Describe:	Annual Production Capacity:
Sell or buy quantity desired: Pallets Less than container loads Container loads Not applicable (service) Other Describe:	Percentage of Sales abroad:
Purpose of inquiry: Buy Sell	Seeking what type of contact: Agent representation Distributor End-User Establishing operations Other Describe:	Potential customer profile: Wholesale Retail Manufacturing Distribution Other Describe:
Currently exporting to what countries:	Product or service description:	HTS number:
Technical specifications:	Product use or application:
Current end-user profile:	Price/market description: Value price Average price High-end price Other Describe:
Client currently has a: Customs broker Logistics/Freight forwarder none of the above Other Describe:	Have you used the services of the CASA San Antonio before? Yes No	How did you hear about Casa San Antonio? Client referral Newspaper Website Radio Television Other Describe:
Type of Service: Research Matchmaking list Trade mission
Client can speak (language): Spanish English Japanese Other Describe:	IRO Data Entry by:	If 'other', please type in name: