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*Company Name :

*Country:

City:

* Address:

Web site:

Fax No. :

* Company registration number :

* Total Annual Turnover USD :

* Number of Employees :

*Services :

Branches:

* Year of Establishment :

Certifications: FIATA
IATA
Customs

The current address is: Head office
Branch Office

Key Contact

* Name :

* Designation :

* Office No. :

* Mobile No. :

* Email :

Second Contact

Name :

Designation :

Office No. :

Mobile No. :

Email :

Third Contact

Name :

Designation :

Office No. :

Mobile No. :

Email :

Below here applicants must submit (2) references from agents they currently do business with, outside the country in which they are located.

Freight Forwarding Reference 1

* Company Name :

* Type of Business :

Contact :

Telephone :

Fax :

* Email :

Freight Forwarding Reference 2

* Company Name :

* Type of Business :

Contact :

Telephone :

Fax :

* Email :

* By submitting this form we agree to join Connect Logistics Network as a member.

* I agree to the terms and conditions (Rules) of network.

Key Contact

Second Contact

Third Contact

Freight Forwarding Reference 1

Freight Forwarding Reference 2

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