To complete and submit a survey only takes a few minutes and is non-binding, but is an essential first step for us to know more about your firm. Please provide accurate contact details so that a program staff member can contact you directly.

All fields marked with an are required fields.
Company Name
Address Line 1
Contact Title
Contact Name
Address Line 2
City
State
Zip Code
Country
Phone
Fax
E-Mail
Website URL
Form of Business
Sole Proprietorship C Corporation Subchapter S Corporation Limited Liability Company Other (describe)
If Other, please describe
Date Formed
Annual Sales
How many employees do you have?
1-25 26-100 More than 100
Do you have a current business plan?
No Yes
Please give a brief description of your business; i.e. product line, process, or technology, existing customers and markets
Does your company export or license its product/technology internationally?
No Yes
If yes, where?
Asia Europe E. U. India China Hong Kong Japan Russia Singapore Far East Middle East Israel Australia New Zealand Africa Latin America Brazil Mexico Canada Central America Others
Is your company involved in any type of international teaming, joint venture, or strategic partnership agreement with a foreign company (ies)?
No Yes
If yes, please provide information:
What is the product’s stage of development?
Proof of concept Patent pending Patented Other (describe)
If Other, please describe
How would you rate your organization’s knowledge of international business?
Excellent Good Fair
Does your product have a prototype?
No Yes
If yes, has the prototype been formally tested?
No Yes
Please rank the following local services relative to your business operations:
Significant Mild Not overly interested N/A Leadership’s desire to commit full-time staff to export Firm’s ability to commit full-time staff to export Firm’s ability to commit part-time staff to export Firm’s ability to provide financial resources to support staff activity – such as travel, trade show attendance, etc Export/international business experience of firm’s staff Firm’s interest in exploring international business opportunities
Additional Information

If you experience any problems filling out this survey, please e-mail sloy@wvhtf.org.