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Application -Headquarter

*Username:

Contact Information

*Name of Company:

*Address 1:

Address 2:

*City:

*Country:

*Telephone:

*Fax:

*Corporate Email:

Website:

Skype ID:

Pangaea ID:

Key Personnel

Name

Position

Email Address

10)

Company Information

*Introduction:

*Mission Statement:

*Services

Air Freight

Sea Freight

Customs Clearance

Projects and Heavylift

Events Logistics

Port Services and Brokerage

Other Related Services:

Last Fiscal Year Turnover in USD:

Capitalization in USD:

Length of operation (in years):

Number of Staff (with branches)

Banking Information

Bank Name:

Address:

Telephone:

Fax:

Account Number:

Routing:

Additional Information

Is your company bound by contract or affiliated to any similar group or multi-national company that would conflict with the interests of WCM members? Yes No

Do you have an IATA license? Yes No

If yes, what is your IATA number?

Public Holidays:

Rates

FOB Rate

Custom Regulations

Reference Information:

Airline for Reference #1:

Airline Email:

Airline Contact Person:

Fax:

Airline for Reference #2:

Airline Email:

Airline Contact Person:

Fax:

Customer Name #1:

Customer Email:

Contact Person :

Fax:

Customer Name #2:

Customer Email:

Contact Person :

Fax:

Application are subject to terms and conditions of Worldwide Cargo Marketing.
I hereby certify that the information above are true and correct.