New England EEF Questionnaire - MA Company Name*Contact Person*Email Address* Company Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Telephone NumberWebsite Year EstablishedNumber of Employees Worldwide*Annual Company SalesCompany Description*Desired Service or ProgramGold Key MatchmakingInitial Market CheckInternational Partner SearchInternational Company ProfileBusiness Facilitation ServiceOther / Not SurePlease Indicate your Desired Service or QuestionDesired CountryRequested Date of Completion for Service Is Your Company... New to Export? New to this Market? What Type of Relationship are you Seeking? Agent Distributor Joint Venture Licensee Direct to OEM Background Report Other Please ExplainName/Title of Company Representative(s) Requesting Program(if different from company contact)Primary Product to be Marketed as Part of this Service/ProgramDoes your Product Contain at Least 51% U.S. content?YesNoDo you have senior leadership buy-in for this initiative?*YesNoIf yes, who and title?*Why will This Program or Service be Beneficial to your Company and its Export Growth? Who Is Your Contact at CS Boston?James CoxJames PaulMaryanne BurkeRJ DonovanMichelle OuelletteI certify that all information that is provided on this application is true to the best of my knowledge and that I am an authorized representative of the company.* I Agree I agree to provide feedback to the U.S. Department of Commerce on projected export sales resulting from this program. I accept the terms of the New England Export Expansion Fund which includes potential follow-up contact from partners. I agree to potential media coverage of my company’s participation in the EEF program.* I Agree PhoneThis field is for validation purposes and should be left unchanged.