Contact Details
Title:     Name:      Surname:  
Organisation:   Position:  
Physical Address:  
 Code:
Postal Address:  
 Code:
Telephone (e.g. 0113240000):   Fax (e.g. 0123240000):  
Cellphone (e.g. 07230123356):   *E-Mail:  
Sectors
(Please tick relevant box)
Manufacturing:
If Other, specify here
Service:
If Other, specify here
Resource Based:
If Other, specify here
Enquiry
(Please write in details)
Export/Trade Business:  
Database/Business Information:  
Investment Opportunities:  
Training/Workshop:  
Business Opportunities:  
Signature:   Date: 21 February 2015
For Office Use
Business Unit/Department:    Date:
Name:  Time: