Please complete all information. For questions email inquiries@wtcsavannah.org or call 912.447.9707. Primary Contact InformationName First Last Title Telephone Email Secondary Contact Information General Business InformationCompany Name Company Address Street Address City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Zip Telephone Website (URL) Year Established Approx. Annual Revenues Doing business internationally?Number of Employees in GA Number of Employees Worldwide InterestsWhich WTCSav service(s) is of most interest to your company? Business Services Certificates of Free Sale Certificates of Origin Foreign-Trade Zones International Connections Professional Referrals / Matchmaking Trade Missions Trade Services Research Savannah World Trade Center for Investment (EB-5) Other Which type of program(s) is of most interest to your company? Educational Workshops and Seminars Networking Opportunities Roundtables with Foreign Delegations Other Which type of program(s) is of most interest to your company? - Other Which region(s) of the world is of most interest to your company? Africa Asia / Pacific Canada Central / Latin America Eastern Europe Middle East Western Europe Other Which region(s) of the world is of most interest to your company? - Other Are there particular countries of interest to your company?Partnership CategoriesPartnership Categories Platinum - $10,000+ Investor - $3,000+ Corporate - $1,500 Business - $500 Payment Information Please make checks payable to: World Trade Center Savannah. Partnerships are non-transferable and are for one year from date of payment receipt. Please email or mail the completed application to: World Trade Center Savannah 906 Drayton Street Savannah, Georgia 31401 USA Tel: +1.912.447.9707 Fax: +1.912.447.8455 inquiries@wtcsavannah.org SignatureDate Month Day Year Δ