New Customer (Forwarding)

New Customer (Forwarding) DIRECT LINK ONLY

Date Business Commenced

Tax ID Number

Type of Business Entity

DUNS Number

Other

Are you part of any network?

WCA

WFN

WWPC

Other

Accounts Payables Contact Name

Phone

Fax

Is your company currently involved in C-TPAT or any other security programs?

If you are a participating member of C-TPAT please provide your SVI #

If you are participating in any other security programs please list them

I/We agree to pay all collection costs, court costs, and legal fees incurred to collect delinquent balances.

I/We certify that the foregoing information is complete, accurate, and voluntary for the purpose of obtaining credit in connection with our business.

I/We acknowledges receipt, acceptance and application of the foregoing Terms and Conditions of Service.

Signature

Title