Membership Application & Payment Form

Information provided to RAUCH will be held in strictest confidence and will only be used for the purposes of providing services as requested by the applicant.

Provide as completely as possible, the information requested in this application.

Please place N/A in fields that do not apply.

1. Company Name

2. Address

3. Telephone

4. E-mail

5. Contact Name

6. Title

7. Address

8. Telephone

9. E-mail

10. Name and Position of Individual(s) filling out this application:

Same as Above

Yes No

10.1 Contact Name

10.2 Title

10.3 Address

10.4 Telephone

10.5 Email

11. Please Check All That Apply

I am interested in exporting a product
I am interested in licensing out a product
I am interested in exporting a service
I am interested in licensing out a service
I am interested in importing a product to augment my manufacturing/service process
I am interested in licensing a product for sale and distribution in my market
I am interested in importing a service to augment my manufacturing/service process
I am interested in licensing a service for sale and distribution in my market
I am interested in setup of foreign manufacturing or other operations
I am interested in identifying and establishing foreign distribution agents
I am interested in Mergers or Acquisitions for my business/international expansion
I am seeking vetted international partners
I am a startup company
I have an unproven technology
I have an unproven service offering
I have an unproven product offering
I have a proven technology (includes proof of concept, patents, costs, ROI)
I have a proven service offering (includes proof of concept, patents, costs, ROI)
I have a proven product offering (includes proof of concept, patents, costs, ROI)
Other:

Please Explain

12. Please identify your industry sectors and principal lines of business:

Industry Sector(s):

Principal lines of business:

13. Does your company have any international business experience?

Yes No

If yes, please list the countries to which you have business with and the approximate amount.

14. Number of Employees:

Domestic

International

Locations

Services

Functions

15. Annual Sales:

Domestic

International

16. What geographic market (country/region) are you interested in and why?

17. What are your biggest challenges to export?

18. Why is your business successful in the domestic market?

19. What are the competitive advantages of your products or business over other domestic and international businesses?

20. What do your current customers say about you?

21. Define short-term goals.

What are your two-year goals for your international business products/services?

22. Define long-term goals.

What are your long-term goals for this business in the next 5 years?

23. How will the international trade marketplace help you reach your short and/or long-term goals?

24. What makes your product(s)/service(s) attractive for the international trade marketplace?

25. Why do you believe international buyers will purchase your company’s products or services?

26. What is your level of commitment and that of your company’s top management to expanding into international markets? How much preparation time, planning and resources are you willing to commit to implementing an export program? What is your financial commitment?

27. Please describe in detail the type of partners you are looking for as part of your international market expansion.

Example: Distribution Partners, Educational/Intake Partners, Marketing & Sales Partners, Independent Sales Representative Partners

28. Please describe in detail the types of Mergers or Acquisitions you are interested in and what specific purpose they would serve.

29. Please provide any additional information you Rauch should be aware of.

Legal Disclaimer:

Applicant is responsible for complying with all applicable laws and regulations of the United States and foreign countries. Rauch Export- Import, its parent Rauch International Inc, its affiliates, shareholders, officers, employees and contract personnel are not liable for the consequences of any information provided by applicant.

30. Company’s Certification of Agreement

This application has been completed by a Duly Authorized Company/Participant’s Representative.

The undersigned hereby certifies and acknowledges that he/she is aware of the applicant’s obligations as stated above and in the Membership Agreement and that this application form is true and correct.

Application Completed By:

Name:

Title:

Date:

Signature:

Signature will not be saved until you click this button.

Authorization & Payment:

US $1,500

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