New Customer Questionnaire
Your first name? *
Your answer
Your last name? *
Your answer
Your email address? *
Your answer
Your phone number? *
Please include country code +
Your answer
Your title or position? *
Your answer
Your responsibilities? *
Your answer
What is driving your interest in a solution? *
Your answer
What is the likelihood your organization will implement a solution? *
Unlikely
Certain
When is your organization planning to start the implementation of a solution? *
12+ Months
ASAP
What are the expectations for the investment necessary to purchase a solution? *
< $10K USD
> $2MM USD
What is your level of authority in the selecting a final solution? *
None
Final Decision Maker
Your organization's name? *
Your answer
Your organization's website url? *
Your answer
Category best describing your organization? *
Is your organization or country restricted in any way with the United States Office of Foreign Asset Control? *
(Export compliance due diligence)
Is your organization restricted in any other way for trade with the United States? *
(Export compliance due diligence)
Does your organization have previous experience purchasing ITAR items or other controlled items from the United States? *
(Export compliance due diligence)
How is your organization legally recognized? *
(Export compliance due diligence)
What's your organization's street address? *
(Export compliance due diligence)
Your answer
What's your organization's state or region? *
(Export compliance due diligence)
Your answer
What's your organization's postal code? *
(Export compliance due diligence)
Your answer
Which country is your organization legally recognized in? *
(Export compliance due diligence)
Which continent does your organization reside in? *
(Export compliance due diligence)
Accuracy Confirmation
I understand responses are used to ensure compliance with United States laws regarding export of regulated technologies. The responses provided are true to the best of my knowledge and belief.
Export Controls Confirmation
The United States and other governments control export of some technologies as part of an international effort to combat illegal use of weapons. Recipients of controlled items recognize a legal obligation to abide by all laws and regulations both within and outside the United States.

For more information regarding laws, regulations, and policies:

ITAR – International Traffic in Arms Regulations:
http://www.pmddtc.state.gov/regulations_laws/itar.html

U.S. Department of State – Directorate of Defense Trade Controls
https://www.pmddtc.state.gov/

Thank you! Filling this survey will help ensure a timely and informed response from our customer team.
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