Client Application Form

Last Name: First Name: Middle Name:
Company Name:
Please indicate type of Company:
Please State Position for the Company: President of the Company Human Resource Manager Secretary of the Company Financial Manager Operations Officer
Indicate what type of Shipment: Land Shipment of Freight Sea Shipment of Freight Air Shipment of Freight
Indicate how many Cargo's:
Indicate the weight of the Cargo:
Specify the type of Cargo: Technology Related Cargo Clothing Cargo Food Cargo Cosmetics Cargo Metal Cargo Chemical/Toxic Cargo Medicine Cargo Wood Cargo Gasoline Cargo
Duration of the Shipment:
Days
Weeks
Months
Years
Indicate the specified date of transaction:
Please give specified arrival of shipment:
Specify the address of the cargo:
Specify the address destination:
Mode of Payment:
Post-Dated Cheque
Direct Payment
Bank Transaction
Every Half-Month
Credit Card

If you have other concerns about applications kindly type it below the box:
Feel free to write your concerns and clarifications here!