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New Accounts Application Form

Always alert for new marketing opportunities, we would like to know more about you and your business and work together to build a long-lasting, mutually beneficial relationship.

Please complete this survey (we will treat it in total confidence) and help us to help YOU.

NOTE: We are currently opening new Non-US accounts only.

          YOUR COMPANY NAME:   *
            MAILING ADDRESS:
            (Include country and postal address)
                               *
CONTACT NAME (include title)    *  
                   Telephone    *
                         Fax    *
                      E-mail    *
					  
Would you be interested in receiving email updates on food opportunities from BNR Global?
                              Yes or  No  

    YEAR COMPANY WAS FOUNDED  *
         NUMBER OF EMPLOYEES 
             Is your company  PUBLIC  OR   PRIVATE
            PRIMARY BUSINESS (Check all that apply):	
                              Yes or  No - Import 
                              Yes or  No - Export 
                              Yes or  No - Broker 
                              Yes or  No - Manufacturer 
                              Yes or  No - Distributor 
                              Yes or  No - Wholesale 
			     If "Yes" to Wholesaler or Distributor, 
			     Number of Accounts: 
                              Yes or  No - Retail 
			     If "Yes" to Retail, Number of Retail Outlets:
				
			
           TRADE REFERENCES - Please include
           Name of the company, Contact name, Telephone & Fax
      

ITEMS IMPORTED (product/country):  *
ITEMS EXPORTED (product/country):  *

PRODUCTS YOU NEED:   *

                    COMMENTS:

 
 
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