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Company Name
   
 
 
 
Your name
   
 
 
 
Country
   
 
 
 
What is position do you hold in the company?
   
 
 
 
Contact Details:
   
 
 
 
What type of business do you own?
 
Agent
 
Dealer
 
Import-export
 
End user
 
Other
 

 
 
 
How long have you been operating this business?
   
 
 
 
What is the number of employees?
   
 
 
 
Does the business operate globally?
 
Yes
 
No
 
Other
 
 
 
 
What is the prime source of business income?
   
 
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