SOUTH AFRICA MATCHMAKING FORM
COMPANY INFORMATION:
Participant’s Name: ______
Title: ______
Company Name:______
Address:______
City: ______State: ______ZipCode: ______
Tel:______Cell:______Fax:______
E-mail: ______
Website:______
COMPANY PROFILE & MISSION STATEMENT
______
List Your Company’s Product(s) / Service(s): ______
MATCHMAKING INFORMATION:
Interested in (Please check all that apply):
[ ] Buying (Import) [ ] Selling (Export)
Markets (Please check all that apply):
[ ] Europe [ ] Africa [ ] Asia [ ] USA [ ] Canada [ ] Middle-East
[ ] Caribbean [ ] Latin America [ ] Other: ______
Areas of Interest:
[ ] Agent/Representative [ ] Wholesaler/Retailer [ ] Distributorship [ ] Memorandum of Understanding
[ ] Joint Venture / Partnership [ ] Franchising [ ] Other (specify):______
Please complete and return form to: Andrew Duffell ( or via fax 561-651-4136)