Customer Profile Questionnaire Name First Last Email PhoneWhat is your nationality? What is your current city of residence? What is your current country of residence? Name of your Current Employer? What is your business activity in your home country? When do you plan to travel to the USA? Do you have any travel history to the USA?YesNoHas your U.S. Visa ever been cancelled or revoked?YesNoHave you ever been refused a U.S. Visa?YesNoHave you ever been refused admission to the United States?YesNoWhich of the following activities do you plan to perform in the United States? Import Export Sales Promotion Purchasing Product Business Investment Services Which Services? EmailThis field is for validation purposes and should be left unchanged.