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	Trade Request  Name Company Name  Address Line 1 Address Line 2 Town or district County (or city)  Post Code  State Country Australia Afghanistan Albania Algeria Andorra Angola Anguilla Anguilla and Barbuda Argentina Armenia Ascension + St Helena Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia-Herzegovina Botswana Brazil British Indian Ocean Terr Brunei Darussalam Bulgaria Burkina Faso Burma Burundi Cambodia Cameroon Canada Canary Is. Cape Verde Caroline Is. Cayman Is. Central African Rep. Chad Chile China Colombia Comoros Congo Congo, Dem Rep Cook Is. Costa Rica Côte d’Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Rep. East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Is. (Malvinas) Faroe Is. Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Hawaii Honduras Hong Kong, China Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, Democratic People’s Rep. of (North) Korea, Rep. of (South) Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macao, China Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Mariana Is. Marshall Islands Martinique Mauritania Mauritius Mexico Micronesia, Fed. States of Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Norfolk Is. Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Is. Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Ryukyu Is. St. Christopher & Nevis St. Lucia St. Pierre & Miquelon St. Vincent & the Grenadines Samoa San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Is. Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Is. Tonga Trinidad & Tobago Tristan Da Cunha Tunisia Turkey Turkmenistan Turks & Caicos Is. Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay USA Uzbekistan Vanuatu Vatican City State Venezuela Vietnam Virgin Is. (British) Virgin Is. (USA) Wallis and Futuna Is. Yemen Republic Zaire Zambia Zimbabwe  Email  Telephone Mobile Fax Retail Chanels Shop Mail Order Internet Number of outlets What do you specialise in? Which products are you interested in? If you are a new retailer, when are you due to open/launch?