Certificate of Origin - Northwest Valley Chamber of Commerce

Please provide the appropriate information for regarding your inquiry. Information provided will be used to verify the business identity. The more accurate the information you provide, the faster the verification process will be!

First Name *

Last Name *

Email *

Please Select Appropriate Box *
Choose 1

Name of Business *

County of Origin

City of Origin

Website *

Street Address

Tax Payer ID Number (For Non-U.S. companies, please use VAT / GST or similar taxpayer number) *

Brief description, in layman terms about the item being exported. *

(Word limit: 200)

May the Chamber visit your site if requested, to inspect the goods being exported *

Yes

Contact Person

Contact Person Cell Phone

Owner Name or Principal

Upload any and all pertinent documents