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Prospective Vendor
Orgill Prospective Vendor Follow Up Form
Please fill in each field as completely as possible. Upon submission, your information will be immediately sent to the appropriate departments.
Note:
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Contact Information
Company:
First Name:
Last Name:
Phone:
Email:
Street:
City:
Country:
UNITED STATES - 840
CANADA - 124
AFGHANISTAN - 004
ALBANIA - 008
ALGERIA - 012
AMERICAN SAMOA - 016
ANDORRA - 020
ANGOLA - 024
ANGUILLA - 660
ANTARCTICA - 010
ANTIGUA AND BARBUDA - 028
ARGENTINA - 032
ARMENIA - 051
ARUBA - 533
AUSTRALIA - 036
AUSTRIA - 040
AZERBAIJAN - 031
BAHAMAS - 044
BAHRAIN - 048
BANGLADESH - 050
BARBADOS - 052
BELARUS - 112
BELGIUM - 056
BELIZE - 084
BENIN - 204
BERMUDA - 060
BHUTAN - 064
BOLIVIA - 068
BOSNIA AND HERZEGOWINA - 070
BOTSWANA - 072
BOUVET ISLAND - 074
BRAZIL - 076
BRUNEI DARUSSALAM - 096
BULGARIA - 100
BURKINA FASO - 854
BURUNDI - 108
CAMBODIA - 116
CAMEROON - 120
CAPE VERDE - 132
CAYMAN ISLANDS - 136
CHAD - 148
CHILE - 152
CHINA - 156
CHRISTMAS ISLAND - 162
COCOS (KEELING) ISLANDS - 166
COLOMBIA - 170
COMOROS - 174
CONGO - 178
COOK ISLANDS - 184
COSTA RICA - 188
COTE D'IVOIRE - 384
CROATIA - 191
CUBA - 192
CYPRUS - 196
CZECH REPUBLIC - 203
DENMARK - 208
DJIBOUTI - 262
DOMINICA - 212
DOMINICAN REPUBLIC - 214
EAST TIMOR - 626
ECUADOR - 218
EGYPT - 818
EL SALVADOR - 222
EQUATORIAL GUINEA - 226
ERITREA - 232
ESTONIA - 233
ETHIOPIA - 231
FALKLAND ISLANDS (MALVINAS) - 238
FAROE ISLANDS - 234
FIJI - 242
FINLAND - 246
FRANCE - 250
FRANCE, METROPOLITAN - 249
FRENCH GUIANA - 254
FRENCH POLYNESIA - 258
GABON - 266
GAMBIA - 270
GEORGIA - 268
GERMANY - 276
GHANA - 288
GIBRALTAR - 292
GREECE - 300
GREENLAND - 304
GRENADA - 308
GUADELOUPE - 312
GUAM - 316
GUATEMALA - 320
GUINEA - 324
GUINEA-BISSAU - 624
GUYANA - 328
HAITI - 332
HONDURAS - 340
HONG KONG - 344
HUNGARY - 348
ICELAND - 352
INDIA - 356
INDONESIA - 360
IRAN (ISLAMIC REPUBLIC OF) - 364
IRAQ - 368
IRELAND - 372
ISRAEL - 376
ITALY - 380
JAMAICA - 388
JAPAN - 392
JORDAN - 400
KAZAKHSTAN - 398
KENYA - 404
KIRIBATI - 296
KOREA, (North) DPR OF - 408
KOREA, REPUBLIC OF - 410
KUWAIT - 414
KYRGYZSTAN - 417
LATVIA - 428
LEBANON - 422
LESOTHO - 426
LIBERIA - 430
LIBYAN ARAB JAMAHIRIYA - 434
LIECHTENSTEIN - 438
LITHUANIA - 440
LUXEMBOURG - 442
MACAU - 446
MACEDONIA - 807
MADAGASCAR - 450
MALAWI - 454
MALAYSIA - 458
MALDIVES - 462
MALI - 466
MALTA - 470
MARSHALL ISLANDS - 584
MARTINIQUE - 474
MAURITANIA - 478
MAURITIUS - 480
MAYOTTE - 175
MEXICO - 484
MOLDOVA, REPUBLIC OF - 498
MONACO - 492
MONGOLIA - 496
MONTSERRAT - 500
MOROCCO - 504
MOZAMBIQUE - 508
MYANMAR - 104
NAMIBIA - 516
NAURU - 520
NEPAL - 524
NETHERLANDS - 528
NETHERLANDS ANTILLES - 530
NEW CALEDONIA - 540
NEW ZEALAND - 554
NICARAGUA - 558
NIGER - 562
NIGERIA - 566
NIUE - 570
NORFOLK ISLAND - 574
NORTHERN MARIANA ISLANDS - 580
NORWAY - 578
OMAN - 512
PAKISTAN - 586
PALAU - 585
PANAMA - 591
PAPUA NEW GUINEA - 598
PARAGUAY - 600
PERU - 604
PHILIPPINES - 608
PITCAIRN - 612
POLAND - 616
PORTUGAL - 620
PUERTO RICO - 630
QATAR - 634
REUNION - 638
ROMANIA - 642
RUSSIAN FEDERATION - 643
RWANDA - 646
SAINT KITTS AND NEVIS - 659
SAINT LUCIA - 662
SAMOA - 882
SAN MARINO - 674
SAO TOME AND PRINCIPE - 678
SAUDI ARABIA - 682
SENEGAL - 686
SEYCHELLES - 690
SIERRA LEONE - 694
SINGAPORE - 702
SLOVAKIA (Slovak Republic) - 703
SLOVENIA - 705
SOLOMON ISLANDS - 090
SOMALIA - 706
SOUTH AFRICA - 710
SOUTH GEORGIA - 239
SPAIN - 724
SRI LANKA - 144
ST. HELENA - 654
ST. PIERRE AND MIQUELON - 666
SUDAN - 736
SURINAME - 740
SWAZILAND - 748
SWEDEN - 752
SWITZERLAND - 756
SYRIAN ARAB REPUBLIC - 760
TAIWAN, PROVINCE OF CHINA - 158
TAJIKISTAN - 762
TANZANIA - 834
THAILAND - 764
TOGO - 768
TOKELAU - 772
TONGA - 776
TRINIDAD AND TOBAGO - 780
TUNISIA - 788
TURKEY - 792
TURKMENISTAN - 795
TURKS AND CAICOS ISLANDS - 796
TUVALU - 798
UGANDA - 800
UKRAINE - 804
UNITED ARAB EMIRATES - 784
UNITED KINGDOM - 826
URUGUAY - 858
UZBEKISTAN - 860
VANUATU - 548
VATICAN CITY STATE - 336
VENEZUELA - 862
VIET NAM - 704
VIRGIN ISLANDS (BRITISH) - 092
VIRGIN ISLANDS (U.S.) - 850
WALLIS AND FUTUNA ISLANDS - 876
WESTERN SAHARA - 732
YEMEN - 887
YUGOSLAVIA - 891
ZAIRE - 180
ZAMBIA - 894
ZIMBABWE - 716
State/Province:
ALASKA - AK
ALABAMA - AL
ARKANSAS - AR
AMERICAN SAMOA - AS
ARIZONA - AZ
CALIFORNIA - CA
COLORADO - CO
CONNECTICUT - CT
DISTRICT OF COLUMBIA - DC
DELAWARE - DE
FLORIDA - FL
FED. STATES OF MICRONESIA - FM
GEORGIA - GA
GUAM - GU
HAWAII - HI
IOWA - IA
IDAHO - ID
ILLINOIS - IL
INDIANA - IN
KANSAS - KS
KENTUCKY - KY
LOUISIANA - LA
MASSACHUSETTS - MA
MARYLAND - MD
MAINE - ME
MARSHALL ISLANDS - MH
MICHIGAN - MI
MINNESOTA - MN
MISSOURI - MO
NORTH. MARIANA ISLANDS - MP
MISSISSIPPI - MS
MONTANA - MT
NORTH CAROLINA - NC
NORTH DAKOTA - ND
NEBRASKA - NE
NEW HAMPSHIRE - NH
NEW JERSEY - NJ
NEW MEXICO - NM
NEVADA - NV
NEW YORK - NY
OHIO - OH
OKLAHOMA - OK
OREGON - OR
Other-Outside US
PENNSYLVANIA - PA
PUERTO RICO - PR
PALAU - PW
RHODE ISLAND - RI
SOUTH CAROLINA - SC
SOUTH DAKOTA - SD
TENNESSEE - TN
TRUST TERRITORIES - TT
TEXAS - TX
UTAH - UT
VIRGINIA - VA
VIRGIN ISLANDS - VI
VERMONT - VT
WASHINGTON - WA
WISCONSIN - WI
WEST VIRGINIA - WV
WYOMING - WY
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