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MEMBERSHIP APPLICATION FORM
Part I. Applicant's Information Statements
Company Name
Date of Incorperation
Country / City
Full Style of Company Address
E-Mail(General)
Phone Number
Fax Number
Web
Any other office location(s)
Founder Information - Please state the names of all shareholders with particulars of percentage of each shareholder and names of all directors with their e-mail address
Name of beneficiary with full acccount details;
Registered Capital in USD
Turnover in USD (2009)
Turnover in USD (2010)
Number of staffs
Part II. Activities
Air
%, and
Tons per year
Current & Potential Traffic (countries);
Ocean
%, and
TEU per year
Road
%, and
TEU per year
Other
%, and
Part III. Licences - Sertifications - Affilications
Chamber of Commerce
Local Forward, Association
NVOCC
Customs Broker
FIATA
IATA
FMC
Are you a member of any other networks ? Which ?
Part IV. Contact Details
1st Contact Name
Position
E-Mail
Office Tel
Mobile Phone
2nd Contact Name
Position
E-Mail
Office Tel
Mobile Phone
3rd Contact Name
Position
E-Mail
Office Tel
Mobile Phone
Part V. How did you find us ?
Our Invitation
Internet Search
By Reference
Other
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