Section One
WTC New Orleans Member # if applicable
Company
Division
Primary Contact
Position
Secondary Contact
Position
Mailing Address
City/State/Zip
Phone
FAX
E-mail Address
Website Address
Brief description of company activities
Section Two
1.  Exporter of Products
What percentage of your business is based on exports?	Select One 1-10% 11-50% Over 50%
Product Description
Harmonized Code(s) [10 codes max]
Countries/regions
State type of business	Select Retailer Broker Wholesaler Manufacturer Distributor Other
If you selected other, please specify
2.  Importer of Products
What percentage of your business is based on exports?	Select One 1-10% 11-50% Over 50%
Product Description
Harmonized Code(s) [10 codes max]
Countries/regions
State type of business	Select One Retailer Broker Wholesaler Manufacturer Distributor Other
If you selected other, please specify
3.  International Trade, Transportation and Other Services
Transportation Services in Louisiana:       (check services supplied by your business) International Freight Forwarder Customs Brokers Steamship Services NVOCC's Stevedores Truck/Drayage Air Passenger/Cargo/Express Services Warehouse Services Maritime Ports Airports Other Transportation Services     Other Trade-Related Services: Banking/Financial Translation/Fax/Telex International Attorneys Other International Business Services Louisiana Chambers of Commerce Other Chambers, Trade Associations and Organizations