American Association for Clinical Chemistry

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OMB Number: 0625-0237, Expiry: 02/28/2009

Company Contact

First Name*

Last Name*

Company Name*

Title*

Company Address*

City*

State*

ZIP*

Phone Number*

Fax 

Email Address*

Website 

Product/Service Information

Product/Service Name*

Product/Service Description*

Primary Product/Service Users*

Please select your industry sector* Accounting Services Advanced Ceramics Advertising Services Agricultural Chemicals Agricultural Machinery & Eq. Agricultural Services Air Conditioning/Refrigeration Eq. Aircraft/Aircraft Parts Airport/Ground Support Eq. Apparel Architectural/Constr./Engineering SVC Artwork Audio/Visual Eq. Automobile/Light Truck/Vans Automotive Parts/Services Eq. Aviation Services Biotechnology Books/Periodicals Building Products Business Eq. (Non-Computer) Chemical Production Machinery Coal Commercial Fishing Eq. Commercial Vessel/Eq. (Non-Fisheries) Composite Materials Computer Services Computer Software Computers/Peripherals Construction Eq. Consumer Electronics Cosmetics/Toiletries Defense Industry Eq. Dental Eq. Drugs/Pharmaceuticals Economy Education/Training Services Electrical Power Systems Electronic Commerce Electronic Components Electronics Industry Prod/Test Eq. Employment Services Films/Videos Financial Services Food Processing/Packaging Eq. Foods - Processed Footwear Forestry/Woodworking Machinery Franchising Furniture General Consumer Goods General Industrial Eq./Supplies General Science & Technology General Services Giftware Health Care Services Hotel/Restaurant Eq. Household Consumer Goods Industrial Chemicals Information Services Insurance Services Investment Services Iron/Steel Jewelry Laboratory Scientific Instruments Lawn/Garden Eq. Leasing Services Leather/Fur Products Machine Tools/Metalworking Eq. Management Consulting Services Marine Fisheries Products (Seafood) Materials Handling Machinery Medical Eq. Mining Industry Eq. Musical Instruments Non-Ferrous Metals Oil/Gas Field Machinery Oil/Gas/Mineral Prod/Explor Serv. Operations/Maintenance Services Packaging Eq. Paper/Paperboard Pet Foods/Supp. Photographic Eq. Plastics Materials/Resins Plastics Production Machinery Pleasure Boats/Accessories Pollution Control Eq. Port/Shipbuilding Eq. Printing/Graphic Arts Eq. Process Controls - Industrial Pulp/Paper Machinery Pumps/Valves/Compressors Railroad Eq. Regulations Renewable Energy Eq. Robotics Security/Safety Eq. Sporting Goods/Recreational Eq. Telecommunications Eq. Telecommunications Services Textile Fabrics Textile Machinery/Eq. Textile Products - Made-Up Tools - Hand/Power Toys/Games Trade Promotion Services Transportation Serv. (other than Aviation) Travel/Tourism Services Trucks/Trailers/Buses Used/Reconditioned Eq. Veterinary Medicine Eq./Supplies Water Resources Eq./Services Yarns

Showtime Appointment Request

Please check off the countries you would like to meet with our industry specialist. The average duration of each appointment with a Commercial Specialist is 20 to 30 minutes*

Brazil	Guatemala	Philippines
Bulgaria	Iraq	Saudi Arabia
China	Kenya	Taiwan
Czech Republic	Morocco	UAE
Egypt	Norway/Nordic Region
Ghana	Pakistan

Although we will attempt to arrange as many appointments as possible, please assist us by listing the *top 5* priority countries / appointments of most importance to you in the priority box.*

Please share your sales experience in each market selected*

By country, please specify questions / topics you need the Commercial Specialist(s) to be prepared to discuss*

Where do you want your meeting to take place?* My exhibit booth International Business Center (located in the registration area)

If in your exhibit booth, what is your booth number? 

Please include a cell phone number where you can be reached during the show 

Your Local U.S. Department of Commerce Office

Are you currently working with one of U.S. Department offices / U.S. Export Assistance Centers here in the U.S.?* Yes No

If yes, please enter the name or office with whom you are currently working 

Our Commercial Service has ofices at U.S. Embassies in 82 countries. Can we be of assistance to your exports to any other markets? 

If so, please list coutries and type of assistance you need. We will follow-up with you via e-mail beforehand and identify how we might facilitate your exports to those countries in the future as well.

In the past 24 months, have you or has your company utilized any market research reports or trade promotion programs, or received trade counseling from the USDOC Commercial Service or one of its Export Assistance Centers?  Yes No

If so, have these programs or infomation assisted you in completing any export sales?  Yes No

If time allows, could you please explain? 

Submission of business or personal information is voluntary. Please be aware of our Privacy Policy.

Public reporting for this collection of information is estimated to be 5 minutes per response, including the time for reviewing instructions, and completing and reviewing the collection of information. All responses to this collection of information are voluntary, and will be provided confidentially to the extent allowed by law. Notwithstanding any other provision of law, no person is required to respond to nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a current valid OMB Control Number. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Reports Clearance Officer, International Trade Administration, Department of Commerce, Room 4001, 14th and Constitution Avenue, N.W., Washington, D.C. 20230.