SELF / Tom Smith Inc. ECCN: 5D992.c AUTHORIZATION TYPE: MMKT ITEM TYPE: Mobility and mobile applications n.e.s. SUBMITTER NAME: Tom Smith TELEPHONE NUMBER: (222) 123-4567 E-MAIL ADDRESS:
[email protected] MAILING ADDRESS: 123 Smith St. Washington DC 22032 NON-U.S. COMPONENTS: N/A NON-U.S. MANUFACTURING LOCATIONS: N/A https://www.bis.doc.gov/index.php/component/docman/?task=doc_download&gid=1675 Commonly used values Update with your info