REGISTRATION FORM Ag Mission 2024

Virtual Agrifood Mission to Honduras (March 13th) and Costa Rica (March 14th) 2024 REGISTRATION FORM 1 Company information Company name: Click or tap here to enter text. Adddress / Adresse postale: City and Province: Postal code: Website: Click or tap here to enter text. 2 Executive who will help us COORDINATE logistic details prior to event First Name and Surname: Position: Email: Direct phone: Cell phone: Click or tap here to enter text. 3 Representatives who will participate at the mission First Name and Surname: Position: Email: Direct phone: Cell phone: Click or tap here to enter text. First Name and Surname: Position: Email: Direct phone: Cell phone: Click or tap here to enter text. 4 Description of company Click or tap here to enter text. 4 Product information List your products in order of importance (please attach a “one-pager” document if you have it). Channels where you usually position your products (it will help us identify the appropriate importers): (mark with an "x") / Foodservice Retail (convenience, supermarkets, corner stores) Discount stores Macrobiotic/organic/natural product stores Fresh produce store Industrial market (to be further processed or repacked into smaller size presentations) Other (please specify) Click or tap here to enter text. Latin American countries to which you are already export Click or tap here to enter text. Mention any companies in Costa Rica or Honduras which you have identified and would like to meet during the mission Click or tap here to enter text. Mention other brands which compete with your product (it help us exclude local buyers already representing them) Click or tap here to enter text. 5 Logistics Which video conference platform(s) do you regularly use for your virtual meetings Teams Zoom Other (please specify) You will participate in: Costa Rica: Virtual () Honduras: Virtual () Does your participant speak Spanish? Yes No (Interpretation is provided by each Canadian participant) Additional comments Thanks! Alexander Leon Trade Commissioner. Canadian Embassy in Costa Rica. Alexander.leon@international.gc.ca T. +506 2242 4467 M: +506 8811 7851 https://bit.ly/3SvOLiu