2010 Branded Application
Pre-Qualification Worksheet
1.  Enter your company's SIC code as defined by the SBA based on your primary business.  This information may be found on your Dun & Bradstreet report or at http://www.sba.gov/regulations/siccodes/siccodes.pdf
2.  How many employees (full time equivalent) does your company have?   Include the parent company and all of its subsidiaries combined.
3.  Refer to the "Limit" in the right-hand column of the SIC Code List. Are your employee or sales numbers below the maximum allowed for your designated SIC code? Yes
No
Cooperative
4.  Are the products you own/represent clearly identified as product(s) of USA on the packaging? Yes
No

If you answered No to questions 3 or 4 STOP NOW!
Your company is not eligible for MAP Branded Program funds.

5.  Have you received MAP dollars from another FAS Cooperator? Yes
No
6.  Have you or owners of your company applied for or been approved for MAP funding? Yes
No
     6a. If Yes, please list name of participating entity:
 7.  Check all boxes below that are true for the Applicant Company:
Company is willing and able to pay the required administrative fee upon marketing plan approval.
Company is willing and able to pay for the proposed promotions in advance of claiming reimbursement.
Company is promoting products that individually have 50% or more U.S. agricultural content by weight, excluding water and packaging.
Company is promoting branded products for which they would be the exclusive recipient of MAP Branded funds in the target country markets.
Company is willing to provide detailed descriptions and documentation of promotional activities, expenses and export sales; and complete an end-of-year program evaluation form.
Company: Phone Number:
Contact's First Name: Contact's Last Name:
Contact's Email Address: State:
How did you hear about WUSATA?
By clicking the "Submit" button below I hereby certify that the information on this worksheet is correct and that all the statements under #7 are true.  I also certify that my company is defined as a "small business" or an agricultural cooperative by the SBA definition.

©1997-2010 WUSATA. All rights reserved.

Privacy Statement | Terms of Use | Copyright | Non-Discrimination Policy