AGEXPORT to authorize the commercial inforrmacion presented here is published for the benefit of my company

Date: *

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Year201120122013

I. GENERAL INFORMATION

Company Name: *

Company Acronym: *

Year of establishment: *

MonthJanFebMarAprMayJunJulAugSepOctNovDec

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Year191219131914191519161917191819191920192119221923192419251926192719281929193019311932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013

Business License number:: *

Exporter Code: *

Position: * select... Legal Representative: General Manager: Contact before AGEXPORT:

Name: *

Telephone or mobile phone number: *

CONTACT INFORMATION

1 Office address: *

2 Address of the contact before AGEXPORT:

3 E-mail address of the contact before AGEXPORT:

4 Website address:

5 Telephone / Fax No: *

II. SECTOR INFORMATION

SECTOR INFORMATION: *

	Development and Digital Content	LABORATORIES	SOFEX - Software Export	CONTACT CENTER & BPO	HEALTH AND WELFARE TOURISM	COMITURS - Sustainable tourism
Indicate the Sector to which you belong:

III. INVOICING INFORMATION

Name on the invoice: *

Taxpayer Identification Number (TIN):: *

Legal address to be included in the invoice: *

Address for invoice delivery: *

Collection address: *

Contact person for remittance: *

IV. NUMBER OF EMPLOYEES

Management: *

Sales and marketing: *

Provision of Services or Development: *

Total number of employees: *

Total number of male employees: *

Total number of female employees:: *

V. EXPORT OF SERVICES / MARKETS

Have you ever provided any service abroad:

Yes

No

Have you ever served any foreign person in Guatemala?:

No

Yes

Which countries:

Average Annual Export sales (USD)::

Average Annual local Export sales (USD):

Average amount of investment in infrastructure and equipment (USD)::

List up to 5 markets of interest for exporting your services

Market:

Service:

VI. CURRENT COMPANY ACTIVITY

Current company activity:

	Producer/Manufacturer	Consultant	Service provider	Distributor/Trader	Other, specify
Current company activity:

other:

VII. SERVICES PROVIDED

Description of the Service:

Target sector:

What code is in the image?: *

Enter the characters shown in the image.