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Please complete the following application form or download the PDF version here.

Company Name    
Year Started    
Head Office Address    
Town/City Postcode
Country    
Telephone    
Fax    
Email No Of Owners
Total number of employees working in freight forwarding?
Last Year's Annual Sales Turnover in US Dollars?
This Year's Projected Annual Sales Turnover in US Dollars?
List Your Compnay Services
Is your company covered by professional liability insurance?
Is your company a licensed customs broker?
Please indicate the percentage of your business:  
Airfreight %    
Seafreight %    
Roadfreight %    
Please indicate the percentage of your business:  
Inbound %    
Outbound %    
What local/national professional associations do you belong to?
 
Do you have branch offices? If yes, please provide full contact details.
 
First Name Title
Surname    
Position    
I have read and agreed to the Rules & Fees of IASA  
     

 

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