ExporterNews Response Form for Exporters

Exporter Response Form:

Ex-Im Bank has export finance consultants in your region to assist you with your export financing challenges. To better understand your business, therefore, we would appreciate your providing the following information. All information will be treated as business confidential.

Note: fields marked with an asterisk (*)are required in order to submit this form successfully.

*Name:

*Title:

*Company:

*Address:

*City (include county if CA):

*State:

*Zip:

*E-mail address:

*Phone:

Fax:

My company is: Woman-Owned Minority-Owned Environment-Related

Please contact me. I am interested in: (fill out the information as appropriate)
Protecting against nonpayment by my foreign buyer
Getting loans to produce goods or priovide a service for export
Helping my buyer obtain financing

My company is a: Manufacturer Wholesaler/Distributor Service Provider

Number of employees: (including parent and affiliates)

Currently exporting the following products:

*Product 1:
*% U.S. Content

Product 2:
% U.S. Content

Product 3:
% U.S. Content

Company currently exports to (list individual countries):

*Country 1:

Country 2:

Country 3:

We provide the following payment terms to our buyers:
Cash in Advance
Open Account, Number of days:
Letters of Credit
Other: Please specify:

My company's annual export sales dollar volume is:

My company's primary bank is:

Ex-Im Bank ExporterNews Response Form
Revised: July 23, 2007