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Membership Application

If your company is interested in becoming a member of United Shipping, complete the form below and click the "Submit My Application" button to send your application to the Administrative Office in Denver, Colorado.

*Mandatory fields are in red.

 1 Company Contact Information
Company Name   Main Office Address
 
City   Postal Code
 
 
Mail Address   City
 
Postal Code   State/Province
 
Country    
   
 
Telephone   Fax
 
E-Mail Address   Web Site URL
 

 2 Other Office Locations
City, Country   City, Country
 
 
 

 3 Do you intend to open additional offices in the future?
Yes    No
 
If Yes, where?

 4 Year Business was Started

 5 Number of full-time sales employees?

 6 Total number of company employees (including sales)?

 7 Name of President/Managing Director
Name of President
Primary Contact   Contacts Responsibility
 

 8 How many people in your company speak and write English fluently?

 9 Company Ownership
Owner Name   % Owned   Owner Name   % Owned
     
     
     

10 How many monthly shipments does your company handle?
Air Freight Import   Air Freight Export
 
Ocean Freight Import   Ocean Freight Export
 
Other Freight Import   Other Freight Export
 
Customs Clearance    
   

11 Are you a licensed customs broker?
Yes    No

12 Do you have your own trucking facilities?
Yes    No

13 Do you have a warehouse?
Yes    No
 
How Many - square feet / square meters   Is the warehouse bonded?
  Yes    No

14 What certifications does your company have?
IATA   NVOCC
FMC   ISO 9000 1/2
Hazardous Cargo   Other -

15 Does your company own an E & O or Forwarders Liability Insurance policy?
Yes    No
16 Please indicate where you currently have agent relationships with regular business?
Location   # Agents   Location   # Agents
North America     Middle East  
Central America     Africa  
South America     Eastern Europe/CIS  
Europe     Far East  

17 Would you consider changing your agent relationships in the near future?
Yes    No
 

18 Is your company a member of any other organizations? If yes what are they?
Yes    No
 

19 Is your company affiliated with any other network? If yes, which one(s)?
Yes    No
 

20 Have you had prior contact or a working relationship with a United Shipping partner?
Yes    No
 
If yes, name the partner and explain the relationship.

21 If accepted as a member of United Shipping, do you have any longstanding relations with agents that you cannot or will not change?
Yes    No
 
If yes, provide the location or area of that market and list the agent/s name/s.

22 What specific reasons do you want to join United Shipping and what benefits do you expect to gain?

23 What do you expect to contribute to the United Shipping organization?

24 What is your company message, mission statement, or business philosophy?

25 Additional comments that you feel may be of interest to United Shipping, Inc.?

26 Banking Information
Bank Name   Bank Address (Street, City, Location, Country)
 
Contact Name   Account Number
 
Phone Number   Fax Number
 

27 Trade or Industry References
1. Company Name   Service Provided
 
Contact Name   Phone Number
 
Fax Number    
   
2. Company Name   Service Provided
 
Contact Name   Phone Number
 
Fax Number    
   
3. Company Name   Service Provided
 
Contact Name   Phone Number
 
Fax Number    
   
4. Company Name   Service Provided
 
Contact Name   Phone Number
 
Fax Number    
   
5. Company Name   Service Provided
 
Contact Name   Phone Number
 
Fax Number    
   

28 Submitter Information
Submitter Name   Type verification Image:
 
Responsibility  
  verification image, type it in the box

     

United Shipping, Inc seeks to ensure that its website is accurate; however, some information on the website may be out of date and occasionally incorrect. Nothing contained in the website and related links should be considered as legal or professional advice and United Shipping, Inc is not liable for actions arising from its use and not responsible for the contents of any pages referenced by an external link. The term “partner” on the website is used to illustrate the close working relationship of its members; however, each “partner” is a separate entity and is not legally liable for the actions of the other members.
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