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Company name*
Street Address*
City*	SELECT A CITY 100 Mile House 108 Mile Ranch 150 Mile House Abbotsford Ainsworth Aiyansh Aldergrove Alert Bay Alexis Creek Alkali Lake Anahim Lake Anglemont Anmore Armstrong Ashcroft Atlin Baldonnel Balfour Balmoral Bamfield Barnston Island Barriere Beaver Falls Beaverdell Belcarra Bella Bella Bella Coola Big Lake Ranch Black Creek Blind Bay Blubber Bay Boston Bar Bowen Island Bowser Bridesville Bridge Lake Brisco Buckley Bay Burnaby Burns Lake Burton Cache Creek Campbell River Canal Flats Canim Lake Canoe Point Castlegar Cawston Cedar Celista Central Okanagan, Subd. A Central Saanich Chase Cherryville Chetwynd Chilliwack Chopaka Christina Lake Clearwater Clinton Coal Harbour Cobble Hill Coldstream Colwood Comox Coombs Coquitlam Courtenay Cowichan Bay Cowichan Valley, Subd. B Cranbrook Crawford Bay Crescent Valley Creston Cultus Lake Cumberland D'Arcy Darfield Dawson Creek Dease Lake Delta Denman Island Dog Creek Douglas Lake Duncan Eagle Bay Edgewater Edgewood Egmont Elkford Elko Enderby Errington Esquimalt Fairmont Hot Springs Falkland Fanny Bay Fauquier Fernie Field Forest Grove Fort Fraser Fort Nelson Fort St. James Fort St. John Fraser Lake Fruitvale Gabriola Island Galiano Island Galloway Garden Bay Garibaldi Highlands Genelle Gibsons Glade Gold Bridge Gold River Golden Grand Forks Granisle Grasmere Greater Vancouver Greenwood Grindrod Hagensborg Halfmoon Bay Harrison Hot Springs Harrison Mills Harrop Hazelton Hedley Heriot Bay Highlands Hixon Honeymoon Bay Hope Hornby Island Horsefly Hosmer Houston Hudson's Hope Invermere Jaffray Jordan River Kaleden Kamloops Kaslo Keats Island Kelowna Kent Keremeos Kersley Kettle Valley Kimberley Kispiox Kitasoo Kitchener Kitimat Kitimat-Stikine Kitimat-Stikine, Subd. A Kitimat-Stikine, Subd. B Kitimat-Stikine, Subd. D Kitwanga Kleena Kleene Knutsford Kokish Kootenay Bay Kootenay Boundary, Subd. A Kootenay Boundary, Subd. B Kuper Island Kyuquot Lac La Hache Lac Le Jeune Ladysmith Lake Country Lake Cowichan Lake Errock Langford Langley (City) Langley (District) Lantzville Lasqueti Island Lavington Lazo Likely Lillooet Lions Bay Lister Little Fort Logan Lake Lone Butte Louis Creek Lower Nicola Lumby Lund Lytton Mackenzie Magna Bay Mahood Falls Malahat Malakwa Mansons Landing Maple Ridge Mara Marguerite Masset Mayne Island McBride McLeese Lake Mclure Meadow Creek Merritt Merville Mesachie Lake Metchosin Mica Creek Midway Mill Bay Minstrel Island Miracle Beach Mirror Lake Mission Moberly Monte Creek Monte Lake Montney Montrose Moose Heights Moricetown Mount Currie Mount Waddington, Subd. A Mount Waddington, Subd. B Moyie Mud Bay Nakusp Nanaimo Nanaimo, Subd. A Nanaimo, Subd. B Nanoose Bay Naramata Nazko Needles Nelson Nelway Nemaiah Valley New Aiyansh New Brighton New Denver New Hazelton New Westminster Newgate Nicola Nimpo Lake Nitinat North Bend North Cowichan North Okanagan, Subd. A North Okanagan, Subd. B North Saanich North Vancouver (City) North Vancouver (District) Oak Bay Ocean Falls Okanagan Falls Okanagan-Similkameen, Subd. A Okanagan-Similkameen, Subd. B Okanagan-Similkameen, Subd. C Oliver Osoyoos Oyster Bay Parksville Parson Paterson Pavilion Peace River Peace River, Subd. C Peachland Pemberton Pender Island Penticton Phillips Arm Pinantan Lake Pitt Meadows Port Alberni Port Alice Port Clements Port Coquitlam Port Edward Port Hardy Port McNeil Port Mellon Port Moody Port Neville Port Renfrew Pouce Coupe Powell River Powell River, Subd. A Prince George Prince Rupert Princeton Pritchard Procter Qualicum Bay Qualicum Beach Quathiaski Cove Quatsino Queen Charlotte City Quesnel Quilchena Radium Hot Springs Redstone Refuge Cove Remac Revelstoke Richmond Riondel Riske Creek River Jordan Roberts Creek Robson Rock Bay Rock Creek Rock Island Rogers Pass Roosville Rosedale Rossland Royston Rykerts Saanich Salmo Salmon Arm Saltery Bay Saltspring Island Sanca Sandon Sandspit Saratoga Beach Saturna Island Savary Island Savona Sayward Scotch Creek Sechelt Shalalth Shawnigan Lake Shelter Bay Shirley Shoal Bay Shoreacres Sicamous Sidney Silver Creek Silverton Simoom Sound Sirdar Skeena-Queen Charlotte, Subd. A Skeena-Queen Charlotte, Subd. B Skidegate Skookumchuck Skookumchuck Station Slocan Smithers Soda Creek Sointula Sooke Sorrento South Hazelton South Pender Island South Slocan South Wellington Spallumcheen Sparwood Spences Bridge Spillimacheen Springhouse Sproat Lake Spuzzum Squamish Squamish-Lillooet, Subd. A Squamish-Lillooet, Subd. B Squilax Stewardson Inlet Stewart Stikine Stikine, Subd. A Strathcona Strathnaver Stuart Island Sullivan Bay Summerland Summit Lake Sunshine Coast, Subd. A Surge Narrows Surrey Ta Ta Creek Taghum Tahsis Tappen Tatla Lake Taylor Telegraph Cove Telegraph Creek Telkwa Terrace Tete Jaune Cache Texada Island Thetis Island Thompson Sound Thompson-Nicola, Subd. A Thompson-Nicola, Subd. B Thompson-Nicola, Subd. C Thompson-Nicola, Subd. D Thompson-Nicola, Subd. E Three Valley Thrums Tlell Tofino Trail Trout Lake Tulameen Tumbler Ridge Ucluelet Union Bay University Endowment Area Valdes Island Valemount Vallican Van Anda Vancouver Vanderhoof Vavenby Vernon Victoria View Royal Waglisla Walhachin Waneta Wardner Warfield Wasa Wells West Vancouver Westbank Westbridge Westview Westwold Whistler White Rock Williams Lake Windermere Winlaw Winter Harbour Wonowon Woss Lake Wycliffe Wynndel Yahk Yale Ymir Youbou Zeballos
Prov*
Postal Code*
Telephone*
Fax Number
May we publish your fax number?	YesNo
Toll Free Number
E-mail Address
Web Site
Are some or all of your products manufactured in BC?*	SELECT A VALUE Yes No
Manufacturing Locations: Address, City, Postal Code (if different from above, BC ONLY)

Contact Information
	FIRST*	Second
Salutation*	Dr. Miss Mr. Mrs. Ms. Prof.	Dr. Miss Mr. Mrs. Ms. Prof.
First Name*
Last Name*
Position*	Account Executive Accountant Accounts Manager Administration Administration Manager Advertising Manager Area Manager Area Sales Manager Area Supervisor Assistant Assistant General Manager Assistant Manager Assistant Publisher Assistant to the President Bookkeeper Branch Manager Business Administrator Business Development CEO (Chief Executive Officer) CFO (Chief Financial Officer) Certified Accountant Certified General Accountant Chairman Chairman & CEO Chairman & President Chief Accountant Chief Estimator Chief Executive Chief Office Clerk Chief Operating Officer Circulation Director Co-Owner Co-Owner/General Manager Comm. & Public Relations Mgr. Controller Controller/Marketing Mgr. Controller/Treasurer Coordinator Coordinator Purchasing/Admin. Corporate Controller Custom Sales Manager Customer & Media Relations Customer Relations Mgr. Customer Service Customer Service Manager Customer Service/Product Co-ord. Dealer- Sales Rep. Denturist Designer Designer/Weaver Development Director Dir. Marketing Communications Directions Officer Director Director & Secretary Director of Operations Director, BC Operations Director, Business Dev. Director, Communications Director, Corp. Communications Director, Engineering Director, Finance Director, Foreign Operations Director, Manufacturing Director, Marketing Director, Marketing & Export Director, Marketing & Operations Director, Operations Director, Product Dev. Director, Production Director, Publishing Director, Sales Director, Sales & Marketing Director, Software Product Mgmt District Manager District Manager (BC) Division Controller Division Manager Draftsman Editor Editor/Publisher Engineer Engineering Manager Estimator Estimator/Purchaser Executive Assistant Executive Chairman Executive Coordinator Executive Director Executive President Executive Secretary Executive VP Executive VP, Marketing Export Manager Export Sales Export Sales Manager Facility Manager Fencing Manager Foreman Foreman/Supervisor General Manager General Manager, Operations General Sales & Marketing Manager General Sales Manager Graphic Designer Inside Sales Manager Manager of Operations Manager, Business Development Manager, Construction Div. Manager, Customer Service Manager, Public Relations Manager, Sales & Marketing Manager, Vancouver Island Manager, Western Operations Manager/Owner Manager/Partner Manager/Proj. Manager Managing Director Managing Engineer Marketing Marketing Adminstrator Marketing Coordinator Marketing Director Marketing Manager Materials Manager Mechanical Engineer Merchandise Manager Mill Manager Mine Manager National Sales Manager Office Administrator Office Clerk Office Manager Operations Manager, Canada Operator Owner Owner/Artist Owner/General Manager Owner/Manager Owner/Operator Owner/President Partner Plant Manager Plant Superintendent President President & CEO President & COO President & General Manager President & Operations Mgr. President & Publisher President (BC) President, Export Sales President, Sales President, Western Division President/Partner President/Wine Maker Principal Owner Production Coordinator Production Designer Production Manager Production Supervisor Proprietor Publisher Publisher/Editor Publisher/General Manager Publisher/Regional Manager Purchaser Purchasing Manager Purchasing/Sales Regional Manager Reporter Sales & Business Dev. Mgr. Sales & Estimating Manager Sales & Marketing Sales & Marketing Assistant Sales & Production Sales & Project Co-ordinator Sales Contact Sales Coordinator Sales Manager Sales Manager, BC Sales Manager, Canada Sales Representative Secretary Secretary Treasurer Secretary/Manager Senior Estimator Senior Project Manager Senior Technical IIllustrator Senior V.P., Forest Products Senior V.P., Marketing Senior Vice-President Superintendent Team Leader Technical Director Technical Sales Mgr. Technical Sales Rep. Technical Services Coordinator Treasurer V.P., BC Operations V.P., Business Dev. V.P., Canadian Operations V.P., Finance V.P., Finance V.P., General Manager V.P., International Sales V.P., Logistics V.P., Manufacturing V.P., Marketing V.P., Metal Production V.P., Operations V.P., Paper Marketing V.P., Research & Prod. Dev. V.P., Sales V.P., Sales & Marketing V.P., Sales & Operations V.P., Sales-Western Canada V.P., Secretary Treasurer V.P., Technology Vice President	Account Executive Accountant Accounts Manager Administration Administration Manager Advertising Manager Area Manager Area Sales Manager Area Supervisor Assistant Assistant General Manager Assistant Manager Assistant Publisher Assistant to the President Bookkeeper Branch Manager Business Administrator Business Development CEO (Chief Executive Officer) CFO (Chief Financial Officer) Certified Accountant Certified General Accountant Chairman Chairman & CEO Chairman & President Chief Accountant Chief Estimator Chief Executive Chief Office Clerk Chief Operating Officer Circulation Director Co-Owner Co-Owner/General Manager Comm. & Public Relations Mgr. Controller Controller/Marketing Mgr. Controller/Treasurer Coordinator Coordinator Purchasing/Admin. Corporate Controller Custom Sales Manager Customer & Media Relations Customer Relations Mgr. Customer Service Customer Service Manager Customer Service/Product Co-ord. Dealer- Sales Rep. Denturist Designer Designer/Weaver Development Director Dir. Marketing Communications Directions Officer Director Director & Secretary Director of Operations Director, BC Operations Director, Business Dev. Director, Communications Director, Corp. Communications Director, Engineering Director, Finance Director, Foreign Operations Director, Manufacturing Director, Marketing Director, Marketing & Export Director, Marketing & Operations Director, Operations Director, Product Dev. Director, Production Director, Publishing Director, Sales Director, Sales & Marketing Director, Software Product Mgmt District Manager District Manager (BC) Division Controller Division Manager Draftsman Editor Editor/Publisher Engineer Engineering Manager Estimator Estimator/Purchaser Executive Assistant Executive Chairman Executive Coordinator Executive Director Executive President Executive Secretary Executive VP Executive VP, Marketing Export Manager Export Sales Export Sales Manager Facility Manager Fencing Manager Foreman Foreman/Supervisor General Manager General Manager, Operations General Sales & Marketing Manager General Sales Manager Graphic Designer Inside Sales Manager Manager of Operations Manager, Business Development Manager, Construction Div. Manager, Customer Service Manager, Public Relations Manager, Sales & Marketing Manager, Vancouver Island Manager, Western Operations Manager/Owner Manager/Partner Manager/Proj. Manager Managing Director Managing Engineer Marketing Marketing Adminstrator Marketing Coordinator Marketing Director Marketing Manager Materials Manager Mechanical Engineer Merchandise Manager Mill Manager Mine Manager National Sales Manager Office Administrator Office Clerk Office Manager Operations Manager, Canada Operator Owner Owner/Artist Owner/General Manager Owner/Manager Owner/Operator Owner/President Partner Plant Manager Plant Superintendent President President & CEO President & COO President & General Manager President & Operations Mgr. President & Publisher President (BC) President, Export Sales President, Sales President, Western Division President/Partner President/Wine Maker Principal Owner Production Coordinator Production Designer Production Manager Production Supervisor Proprietor Publisher Publisher/Editor Publisher/General Manager Publisher/Regional Manager Purchaser Purchasing Manager Purchasing/Sales Regional Manager Reporter Sales & Business Dev. Mgr. Sales & Estimating Manager Sales & Marketing Sales & Marketing Assistant Sales & Production Sales & Project Co-ordinator Sales Contact Sales Coordinator Sales Manager Sales Manager, BC Sales Manager, Canada Sales Representative Secretary Secretary Treasurer Secretary/Manager Senior Estimator Senior Project Manager Senior Technical IIllustrator Senior V.P., Forest Products Senior V.P., Marketing Senior Vice-President Superintendent Team Leader Technical Director Technical Sales Mgr. Technical Sales Rep. Technical Services Coordinator Treasurer V.P., BC Operations V.P., Business Dev. V.P., Canadian Operations V.P., Finance V.P., Finance V.P., General Manager V.P., International Sales V.P., Logistics V.P., Manufacturing V.P., Marketing V.P., Metal Production V.P., Operations V.P., Paper Marketing V.P., Research & Prod. Dev. V.P., Sales V.P., Sales & Marketing V.P., Sales & Operations V.P., Sales-Western Canada V.P., Secretary Treasurer V.P., Technology Vice President
Phone Number Extension
E-mail Address

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Business Information
Sectors* (choose ANY that apply)
ADVANCED TECHNOLOGY AND ELECTRONICSAPPAREL ARTISANCHEMICALS COMMUNICATIONSENVIRONMENTAL FISHERIES PRODUCTSFOOD AND BEVERAGE MACHINERY AND STEEL FABRICATIONMARINE EQUIPMENT MINERALSMISCELLANEOUS PRODUCTS NURSERY TRADES AND FLORICULTUREPACKAGING PERSONAL AND HOUSEHOLD GOODSPLASTICS SOFTWARESPORTING GOODS TRANSPORTATION EQUIPMENT AND PRODUCTSWOOD AND BUILDING PRODUCTS
Products (List only products manufactured by your company. Please keep this generic as we will match these to our existing product list)
Company Description (Please limit to 250 Characters.)
Estimated total annual sales?	(numbers only please)
Number of employees?	unknown 1 to 5 6 to 14 15 to 24 25 to 49 50 to 99 100 to 199 200 to 499 500 to 999 1000 and over
Actual number of employees?	(numbers only please)
Export Information
Exportation experience	Beginner Experienced InterMediate Unknown None
If some experience, to which countries?	Africa Argentina Asia Australia Austria Belgium Bermuda Bolivia Brazil Canada Canary Islands Carribean Central America Chile China Columbia Costa Rica Cuba Czech Republic Denmark Dominican Republic Eastern Europe Ecuador Egypt England Europe Far East Fiji Finland France French Guiana Germany Ghana Great Britain Greece Greenland Guatemala Guyana Holland Honduras Honduras Hong Kong Hungary Iceland India Indonesia Iran Ireland Israel Italy Jamaica Japan Jordan Korea Kuwait Latin America Lebanon Liberia Luxemburg Malaysia Mexico Middle East Nepal Netherlands New Guinea New Zealand Nigeria Norway Pacific Rim Pakistan Panama Peru Philippines Poland Portugal Puerto Rico Romania Russia S.E. Asia Samoa Samoa Saudia Arabia Scandinavia Scotland Singapore Slovak Republic Slovak Republic South Africa South America Spain Sri Lanka Sweden Switzerland Syria Tahiti Tahiti Taiwan Thailand Turkey Ukraine United Arab Emirates (U.A.E.) United Kingdom United States Venezuela Vietnam World Wide
Countries you would like to export to?	Africa Argentina Asia Australia Austria Belgium Bermuda Bolivia Brazil Canada Canary Islands Carribean Central America Chile China Columbia Costa Rica Cuba Czech Republic Denmark Dominican Republic Eastern Europe Ecuador Egypt England Europe Far East Fiji Finland France French Guiana Germany Ghana Great Britain Greece Greenland Guatemala Guyana Holland Honduras Honduras Hong Kong Hungary Iceland India Indonesia Iran Ireland Israel Italy Jamaica Japan Jordan Korea Kuwait Latin America Lebanon Liberia Luxemburg Malaysia Mexico Middle East Nepal Netherlands New Guinea New Zealand Nigeria Norway Pacific Rim Pakistan Panama Peru Philippines Poland Portugal Puerto Rico Romania Russia S.E. Asia Samoa Samoa Saudia Arabia Scandinavia Scotland Singapore Slovak Republic Slovak Republic South Africa South America Spain Sri Lanka Sweden Switzerland Syria Tahiti Tahiti Taiwan Thailand Turkey Ukraine United Arab Emirates (U.A.E.) United Kingdom United States Venezuela Vietnam World Wide
Date you first started exporting?	September 2010 Sun Mon Tue Wed Thu Fri Sat 35 29 30 31 1 2 3 4 36 5 6 7 8 9 10 11 37 12 13 14 15 16 17 18 38 19 20 21 22 23 24 25 39 26 27 28 29 30 1 2 40 3 4 5 6 7 8 9 Today Clear Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec OK Cancel
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