MED - ALLIA 2009

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MED ALLIA BUSINESS MATCHMAKING QUESTIONNAIRE 2

Kindly fill completely all lines to allow us to better help you find the right partner

name of company: ……………………………………………………………………………………………………….…………………………

address: …………………………………………………………………………………………………………………………….…………………..

phone:…………………………………………………………………………… fax: ………………………………………………….……………

web-site: ……………………………………………………………………… e-mail: …………………………………………………….….…

year of creation: …………………………………………. number of employees: ………………………………………………….…

Revenue (EGP) …………………………………………………………………………………………………………………………………..

Revenue range: (EGP)  5 to 15 Mil (   )     15 to 50 Mil (   )    50 to 100 Mil (   )    100 to 150 mil  (   )   above 150 Mil (   )

Main shareholders/Group belonging to: ………………………………………………………………………………………………....

Activity Description

·         Describe your activity: …………………………………………………………………………………………………………………..…

……..…………….……………………………………………………………………………………………………………………………………………..………….………………………………………………………………………………………………………………………………………………..……….………………………………………………………………………………………………………………………………………………………...……………………………………………………………………………………………………………………………………

·          List your principal products, services, brands: ………………………………………………………………………………….

……………………………………………………………………………………………………………………………………………………...…………………………………………………………………………………………………………………………………………………………...……………………………………………………………………………………………………………………………………………………...…………………………………………………………………………………………………………………………………………………………...

·         Which profile describes you the most:

q producer              q trader               q exporter                 q importer                    q services

·         Which sector describes your profile the most:

        Agri food (   ) Consumer goods (   ) Tourism (   ) Trade (franchise, handicrafts, industry)(   ) Health (   )           

        ICT/Telecom (   )  Energy/Environment (   ) Building/Decoration (  )  Industrial equipments (   )

Desired Partner

·         Which type of partnership are you looking for

        Agent (   )       Distributor (   )   Retailer/Wholesaler (   )            Joint Venture (   )

        Technology Transfer (   )            End user, please specify (   )   Licensing agreement, please specify (   )

·         In which sector: …………………………………………………………………………………………………………………………….…

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·         Additional request: ……………………………………………………………………………………………………………………..…

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Company Representative participating in Med-Allia:

Name: ………………………………………………………………………………………………………………………………………………..…

Position: ……………………………………………………………………………………………………………………………………………….

E-mail: ……………………………………………………………………………………………………………………………………………........

Mobile phone: …………………………………………………………………………………………………………………………………........

Fax: ……………………………………………………………………………………………………………………………………………………….

Languages spoken:     French  (   )             English (   )           Arabic (   )

Please send your BMM filled with the attached Agreement to Coface Egypt:

9 Masjed El Aqsa st.- Mohandessine 12411- Giza, Egypt Tel. +202 3344 8950/2/4  Fax +202 3344 8951

For any info, kindly contact Ms. Anne Dorra, Marketing Director, Coface Egypt– tel +2023 344 8950  

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