| Main Company Subcategory* |
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| Company Subcategory 2 (optional) |
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| Company Subcategory 3 (optional) |
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| Company Name* |
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One Sentence Company Description*
(please limit marketing language) |
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| Products not made in USA (optional) |
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| Corporate Headquarters City* |
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| Corporate Headquarters State* |
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| Main Manufacturing City* |
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| Main Manufacturing State* |
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| Manufacturing City 2 (if applicable) |
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| Manufacturing State 2 (if applicable) |
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| Manufacturing City 3 (if applicable) |
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| Manufacturing State 3 (if applicable) |
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| Manufacturing City 4 (if applicable) |
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| Manufacturing State 4 (if applicable) |
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| Manufacturing City 5 (if applicable) |
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| Manufacturing State 5 (if applicable) |
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| Website Address* |
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