ATDC Business Application Form

All required fields must be filled out. Please answer all questions to the best of your ability, you may leave a question blank or type (n/a) if it does not apply to your business. If you have any questions please reach out to comments@democracy-africa.org (The Foundation for Democracy in Africa) for clarification.

Company Name *

Contact Person *

Company Website

Job Title / Association

Company Phone# *

Contact Phone# *

Company E-Mail *

Contact E-Mail *

Country *

Number of Employees

COMPANY ACTIVITY (Select all that apply) *

HS Code (Optional)

Annual Sales in USD ($)

Does your product contain at least 51% U.S. Content *

Yes

No

Annual Exports in USD ($)

Describe the products/services you seek to promote *

What related products might an agent/distributor of this product also handle?

Who are your major competitors at home and abroad?

List the most important end users or end user industries for your products/services

Choose your company’s sector of the industry (Select all that apply) *

For exporters of products, what type of contacts are you seeking?

Agent/Sales representative

Product testing/market research

Distributor/wholesaler

Direct sales

Exposure to new business contacts

Other (Specify in Additional Information Section)

For exporters of services, what type of services do you wish to promote?

What type of licensing or registration does your service require in the US? (i.e. FDA or USDA)

Describe in detail the type of prospects with whom you would like to meet (qualifications, size, coverage, etc.)

Are there any specific companies or types of companies, you would like us to contact? If so, please name here.

Are there any specific companies or types of companies, you would NOT like us to contact? If so, please name here.

Is your company currently represented in the country or region?

Yes

No

If YES, by whom and do you want us to contact them?

Name & Contact Information

Will you need permanent exhibition space to showcase your products or services?

Yes

No

If YES, how much space will you need:

(specify in Sq. Ft or Square Meters)

We can facilitate access to managed network infrastructure services. Which of the following services will you need:

AfrICANDO Ecommerce Site (complete with 50 prod catalog)

Back Office Services: Communications, CRM, E-marketing /landing pages, form, analytics

Will you need permanent exhibition space to showcase your products or services?

Yes

No

What geographical territory would you like to cover? (Select all that apply)

Do you belong to a Chamber of Commerce in your country?

Yes

No

If YES provide the name of the chamber:

Do you belong to a Chamber of Commerce in the US?

Yes

No

If YES provide the name of the chamber:

If NOT, would you consider joining?

Yes

No

Additional Information (Products, services, business partners, etc.)

AGOA - Product Categories (Select all that apply)

Click Here to View Listing of AGOA Product Categories

reCAPTCHA

Translate / Traduire la Page

Recent Posts

See How Far We’ve Come! AfrICANDO 10 Years Ago

About Us