ExporTech™ Application & Scholarship

ExporTech™ Application

Apply for ExporTech™ and become eligible for a scholarship. Complete the form below to register for ExporTech™ and potentially become eligible for a $5,000 scholarship from the Wisconsin Economic Development Corporation. If you have questions, please contact Mark Hatzenbeller, Senior Director of Business Development, WMEP at 920.246.0051 or [email protected]. Please note that your information is saved on our server as you enter it.

Address(Required)

First Participant Information

Name(Required)

Second Participant Information

Name

Third Participant Information

Name

Fourth Participant Information

Name

Company Background

Minority-Owned
Women-Owned
Tribally-Owned
Corporate Headquarters Location(Required)
Please enter a number from 0 to 100.
Dun & Bradstreet Number can be found at www.dnb.com
This is the North American Industries Classification Systems (NAICS) number that describes what your company does. If you do not know your NAICS code, please 1) Check your Dun&Bradstreet listing; and/or 2) Search for the applicable code at https://www.census.gov/eos/www/naics/
This is a 10-digit number describing your product. It is an internationally standardized product classification code system. Often called the Harmonized System or HS Code. You can often find yours on current shipping documents you are submitting. More info at: https://www.trade.gov/harmonized-system-hs-codes

Company Information

Electronic Signature

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MM slash DD slash YYYY
Please enter a number from 11 to 11. Your answer should be a two-digit number, such as “42.”

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