Apply for Membership

Application by fax

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Atlas International Network Application

.  

Company

Company name*

Company address*

City*

State/Province¨*

Zip-Code*

Country*

Phone (country+)*

Fax*

E-mail*

Website

Paid-in capital in USD

Present capital in USD*

Turnover in USD

2006

 

2007

 

2008

Year company was founded*

Number of staff in this office*

Additional locations and number of staff per branch office

 Branch 1

 

 Branch 2

 

 Branch 3

 

 Branch 4

 

 Branch 5

 

Offices you want to register as appointed member

 Office 1*

 Office 2

Banking information

Bank name*

Full address*

Account number*

Swift address

Licences - certifications - affiliations

Customs broker*

 yes no

NVOCC*

 yes no

FMC*

 yes no

IATA*

 yes no

ISO*

 yes no

Forwarders Association*

 yes no

FIATA*

 yes no

Chamber of Commerce*

 yes no

Are you affiliated to any other network, and if YES, please specify which group(s )*

 yes no

Activities

Air*

% , and tons per year
 

Ocean*

% , and TEU per year 
 

Road

% , and tons per year 
 

Other
%

Services

Does your company specialize in any particular serices or commodities?
If so, please specify

 yes no
 

Is your company presently working with any member(s) of our network?
If so, please specify *

 yes no

   

References
How did you get to know us?
I agree with the concept and ethics of Atlas International Network and promise to actively participate and contribute to the goals of the group.

I declare all information above is correct and agree any false declaration or hidden information may lead to immediate cancellation ofthe agency.

This completes the “Atlas International Network” application

Name of applicant*

Title of applicant*

Application date*