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Company/Institution Name*

Name*

First Last

Job Title*

Email*

Phone

Company Website/ Profile*

Company Location (City)*

Age of Business*

Number of employees*

Product/Service Type*

Product Summary*

Knowledge of your Product Market Opportunities in China*

Interest in establishing a Division in China*

Have you viewed Chinese Market Opportunities Video?*

Interested in growing product sales in China?*

Specialty Focus*

Development Stage Of Company*

IP Status*

IP Expiration Date

Business Plan (Non-confidential)*

Partnering Interest Objective*

Do you or any of your key team members speak Chinese?

Would you be interested in our Houston Accelatration Program?*

Fundraising history*