All field marked with an * are required. We are unable to process if incomplete.
Product you are interested in importing (if more than 1 product, reuse this form)
*Name of Product
Technical Specifications
*Uses and Applications
Estimated Volume Required or Amount in US Dollars
Are you interested in having this product manufactured under you specifications?
Yes No
Other Relevant Information
Company
*Name
*Address
*City
*State
*Zip Code
*Telephone
*Fax
*Person to be contacted
*Position
*Email Address
Line of Business
Importer Wholesaler Distributor Broker Retailer Manufacturer
Other (specify)
*Year Established Number of Employees Annual Sales
Have you ever imported products from Mexico?
Credit References:
Bank or other organizations #1(name and address)
Bank or other organizations #2(name and address)
Please email or mail photographs, catalogs or any other relevant information pertaining to your product.
Please expect a response within a 10 day waiting period
Thank you!
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