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*   Last name :  ( family name)
First Name :  (name )
*  Company :  ( Name of your Company)
*  Address :  (Address street,road... )
Zip Code :  ( Zip Code )
*  City :  ( City )
Province :  ( Province / States )
*Country :  ( Country )

First Phone :  ( First Phone )
Secondary Phone :  ( Secondary Phone )
Fax :  ( Fax )
*  E-Mail :  ( E-Mail )
Activity Started : 
Percentage of export activity :  % ( The percentage of export sales )
Kind of Activity :  ( The type of activity )
We Sell :  ( Descriptive of what the company offers ex: Services,Materials for building )
We Buy :  ( What you buy or Import )
Website :  http://www. ( Other Website )
*Security code :  ( Copy and write here )