|
Company Name: |
|
|
Contact Name:
|
|
|
Title:
|
|
|
Corporate Office
Street Address: |
|
|
City and Postal
Code: |
|
|
State / Providence,
Country: |
|
|
Telephone #: |
|
|
Facsimile #: |
|
|
Mailing Address
(if different than above): |
|
|
E-mail Address: |
|
|
Secondary Contact Name: |
|
|
Secondary E-mail Address: |
|
|
Web site Address: |
|
|
|
|
|
|
|
| Year Business Was
Started: |
|
| Number of Full Time
Employees: |
|
| Number of Part Time
Employees: |
|
|
|
Please
list the current owners of company
|
|
|
|
|
|
|
|
|
|
Other
Office Locations: Please advise next to each if wholly
owned or franchises or agent representing your company -
Any false declarations or omissions subject a member to
immediate expulsion from The WWPC Network
Please provide us with
full address/tel/fax/email/contact information on each
office in this space below. Thank you. |
|
|
| Do you
have plans to expand i.e., open offices, add additional services not yet
available? If yes, please specify below (please be detailed): |
|
|
Is
your company affiliated with any other forwarding networks? If yes, please advise
details and current status
|
|
|
|
|
|
|
|
|
| Company
Certifications: |
|
|
| IATA Agent: |
|
| FMC: |
|
| NVOCC: |
|
| ISO 9000: |
|
| Customs
Broker |
|
| Ocean
Marine Agent |
|
| Please
list any other certifications and any essential memberships (such as
FIATA, LOCAL ASSOCIATIONS, etc.) below: |
|
|
|
|
Does
your company have the following: |
|
|
| Own Trucks: |
|
| Automated/Computerized
Operation |
|
| Your own warehouse: |
|
| Bonded: |
Yes No |
|
|
| Please
provide 2 Business References (Both must be Freight
Forwarders) Please provide name of company, contact,
and email address. |
|
|
|
| SECTION
V: |
|
|
How did you learn about WWPC? |
|
Please provide us
with a short BIOGRAPHY/DESCRIPTION of your company history and
the
services offered. Please also include and
specializations your company provides.. This information shall be distributed
to all WWPC Members upon your acceptance.
|
|
Who do you intend on sending to represent your company to the
2006 WWPC Convention? |
|
|
|
Electronic Signature: Name, Title, Date
Please complete in below box. |
|
