Applicant:

Salutation:

Mr. Mrs. Ms.

Full Name:

Title:

Company:

Address:

City, State:

Zip:

Country:

Day Phone:

Fax:

Email:

Internet:

Please provide a contact person if applicable, e.g. from your HR department etc.

Full Name

Mr. Mrs. Ms.  

Title

Phone

Email

Please choose from the options below:

Fees:

Self-Assessment Test "Readiness for the U.S.A."

free

e - Newsletter

free

Self-Study Course "Business Etiquette" as PDF file (Download)

US $ 19.95

Payment Method:

CreditCard Wire (US $) Check (US $) additional fees may apply for foreign checks or international wires

VISA      MasterCard

Credit Card No.

Name on Card:

Expiration:

Optional:

It  is our primary goal to provide high quality services to our members and clients. We would appreciate if you could tell us a bit more about your company in order to achieve that goal.

Company Information:

Approximate number of employees:

Is your company a subsidiary/division of another company?

Yes    No

Name of parent company

Industry classification

Head of personnel development

What are your company's interests regarding the market abroad?

How can tbu and its collaboration partners support you?

Please let us know

How did you find us?

Friend/Business Partner

Magazine    please specify:

Web Search    please tell us the search site and search term you used:

Web Site Link    which site referred you to us?

Brochure

Mail/email

Other    please specify:

By submitting this form, the applicant confirms that all information above is correct and that he/she is solely responsible for the information provided in this form.

In addition, the applicant agrees that the applicable fees will be automatically charged to above Credit Card if credit card is marked as payment in this application.

Date:

Signature:

______________________________

Requested if application is sent via fax or mail

If you prefer to send your personal data and credit card information offline please print and fill in the form, sign it and send it via fax to 001 Country Code USA, Fax No. (248) 698 3938