Member Category:	Individual Corporation Sponsor
Date:
Company:
Last Name:
First Name:
Title:
Address:
Address 2:
City:
State:
Zip:
Phone w/ext:
Fax:
E-Mail:
Website:
Company Description:
Does Your Firm Export:
	Yes No
Does Your Firm Import:
	Yes No
Nature of International Involvement:
Industry:
SIC Code:
Product/Services:
Year Established:
Number of Employees:
Sales:
Percent of International Sales:
Main Countries You Are Active/Interested in:
Trade Shows You Attended/Plan to Attend:
To help us serve you better please indicate if you are interested in any of the following:
Posting Job Openings:
	Yes No
Providing Speaker(s) for Events:
	Yes No
Participate in a GABC Committee:
	Yes No
Participate in the Corporate InfoShare Program by Hosting an Event:
	Yes No
Other Comments or Suggestions: