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COMPANY INFORMATION
  Company Name
  What is your Objective?   Exhibitor - we want our products to be distributed

  Distributor - we want products to distribute
  Company Website
  Short Company Description

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CONTACT INFORMATION
  Title
  First Name
  Last Name
  Email Address
  Mailing Address
  Suite, Apt, Room, Floor, etc.
  City
  State or Province
  Country
  Zip or Postal Code
  Telephone
  Cell Phone
  Fax Number
 

     
MARKETING OBJECTIVES   (Check all applicable objectives)
 
Direct Sales License Agreement
Represent / Distribute Joint Venture
 
GEOGRAPHIC INTEREST   (Check all applicable geographic areas)
 
China Australia / New Zealand
Japan Central America
Korea Europe
Taiwan North America
Asia (Other) Russia
Africa / Middle East South America
 
PRODUCT INTEREST    (Check all applicable products)
 
Analyzers Electrophoresis
Balances Lab Equipment
Computers / Lims Mass Spectrometry
Chromatography Microscopes
Lab Robotic Spectroscopy
Waste Monitoring  
Other (Please specify)