EXPORT MARKETING
ASSISTANCE APPLICATION
FORM
In order to ensure timely processing of the application form, please ensure you have completed
all sections. Ommittance may result in delaying your application for assistance.
1. PROMOTER DETAILS
Name of Applicant:
________________________________________________
Address:
______________________________________________________
______________________________________________________
______________________________________________________
2. BUSINESS DETAILS
Business Name:
________________________________
Tel. No.:
Mobile:
E-mail:
URL: www.
Status of Applicant (please tick):
Sole trader
Partnership
Limited Company
Other - (please specify) _________________________
Current estimated annual turnover:
€ _______
Employees including Owner: __
Brief description of Product(s) / Service(s):-
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Description of the market you serve (who are your customers / where are they located?):-
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
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