Deadline to submit is August 5, 2025

(Please provide a detailed description of your company to be used on printed materials and for sharing with host country businesses.)
Person most likely to represent the company
Please attach copy of registration or patent certificates
Attach proof (if any)
Ex: Agriculture, Textile, Construction, Healthcare, etc..

Section 2: Background Information

You can review this article if you are unsure >> https://www.thebalancesmb.com/find-your-business-life-cycle-2951237
Please select all that apply

Section 3: Business Match-Making Profile

Ex: Chamber of Commerce, business clubs, women associations, etc..(provide proof of membership if possible)

Section 4: Additional Information

By providing my signature and checking the box below, I understand that If I have misrepresented or omitted any facts relative to this application, I can be denied or discharged from this program. I also commit to helping Haiti become a developed nation through my talents and efforts.

I understand that applying does not guarantee that me or my company will be selected to participate. I also understand that if my company/organization is selected, I or the company will be responsible for the following fees:

• Participation fee
• Flight/Travel to the Atlanta, GA, USA
• Lodging expenses
• Visa & Passport fees

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