Thank you for your inquiry regarding grain exports. We will inform our membership about you upon your completing and returning this form

Member Companies Cannot Assist You Unless This Form Is Complete

Name: *

Company: *
Street Address:
City:
State:
Zip code:
Mailing address:
(if different)
City:
State:
Zip code:

E-Mail: *
Website:

Title:

Phone:
Cellular:
Fax:
 
 
2. Your business type: (Examples: Merchandiser, Broker, Feed Mixer, Processor, Government Buying Agency, etc)

 
3. Your Business Function
 

Agent

Broker

Principal
 
4. Product and Quantity (Specific metric ton requirement)
 
5. Quality (Specific quality characteristics)
 
6. Shipment Details (FOB, CIF; port(s) of shipment/destination; etc.)
 
7. Date offers due and delivery (shipment) period
 
Dates:
 
8. Financing/Credit Considerations (Examples: user of U.S. government credit programs, private financing, special financing needs)
 
 
9. U.S. and International Bank References
 

* Required fields
 
THIS DOCUMENT IS NOT A GRAIN CONTRACT. THE NORTH AMERICAN EXPORT GRAIN ASSOCIATION (NAEGA) IS NOT RESPONSIBLE OR LIABLE FOR ANY COMMITMENTS OR AGREEMENTS TO GRAIN PROCUREMENT RESULTING FROM THIS INQUIRY.