Exporting Ohio Buyer Form
Please fill out all fields below.
Company Profile:
Company Name
*
Where is your company located?
*
Ohio
Within the United States (Excluding Ohio)
Outside of the United States
What country are you located in?
*
Business Address
*
Street Address
Mailing Address *if different than street address*
City
State / Province
Postal / Zip Code
Mailing Address (If different than business address.)
Mailing Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Telephone
*
Format: (000) 000-0000.
Email
*
example@example.com
Website
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Export & Trade Information:
Is/has your company ever worked with a Food Export Association Program?
*
YES
NO
If so, which?
Purchasing Area(s) (Where your company currently purchases products from.)
*
Within United States (Not including territories)
Outside of United States
If within United States, which state?
*
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
What product(s) are you interested in purchasing from Ohio?
*
Do you have a preference on how the product(s) are sold?
*
Yes
No
If yes, what is your preference?
*
Bulk
Certified Organic
Consumer Direct
Convenience Foods
Distributor
Ethnic
Feed Ingredients
Food Service
Fresh
Hallal
Health Foods
Ingredients
Kosher
Livestock Genetics
Non-GMO
Private Label
Retail
Specialty / Gourmet
Wholesale
Wood
Please provide a complete detailed narrative of your products including brand and product category if applicable.
*
Are you okay with us sharing your Export & Trade Information with Ohio Food Companies that meet your product requirements?
*
Yes
No
Prefer you talk to us first.
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Contact Information
Please include all contacts you would like listed for your company.
Contact 1:
*
First Name
Last Name
Title
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
This contact is:
*
International
Domestic
Both
Contact 2:
First Name
Last Name
Title
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
This contact is:
International
Domestic
Both
Contact 3:
First Name
Last Name
Title
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
This contact is:
International
Domestic
Both
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Signature
I certify that to the best of my knowledge the information on this form is true and correct.
Type Your Name Here
*
Date
*
-
Month
-
Day
Year
Date
Submit
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