PLEASE SEND INFORMATION ON AGDE CORPORATION, IMPORT FACILITY REGISTRATION.  I am under no obligation to register at this time:Y/N Foreign Registrant:Y/N Registration Date: First Name: Last Name: Company Name: Company Address: Phone No.: Fax No.: E-Mail address: Company City: State/Province or Territory: Company Postal Code: Country: Parent Company Name: Parent Company Address if applicable: Facility 1 Type Facility 2 Type Please enter the number of facilities of each type you want to register in FACILITY, then enter the TYPE of facility e.g.Enter 1 for Food 2 Drug 3 Bio 4 Med. Device Facility 3 Type Facility 4 Type How would you like to receive registration information? Enter 1 for Web site 2 E-mail 3 Fax or 4 Standard Airmail How did you hear about AGDE Corp?