Certification Application

Company Name: *
Business Type
(i.e. LTD, Inc, Corp ,etc): *

Main Office Address:*

Country:*

City:*

State:

Telephone:*
Fax:
After Hours Telephone Number:
Website
Additional Locations/Branch Offices:

Year business was started:*

Number of Employees:*

Company Contacts you want listed on the FDB membership website for additional contacts please copy and past the format to supply as many contacts as your company needs or desires
Contact Name:*
Title:*
Email:*
Direct Line:
Mobile Phone:
Add More Contact
List of emails you want to receive the monthly newsletter
0 characters entered.

Should not more than 2 emails, 80 Characters
(Example email1@yourwebsite.com,email2@yourwebsite.com)

List of emails you want to receive special alerts about notorious individuals or companies
0 characters entered.

Should not more than 2 emails, 80 Characters
(Example email1@yourwebsite.com,email2@yourwebsite.com)

Services:

Airfreight:
Customs Brokerage:
Ocean Freight:
Rail
Trucking
Warehouse

Other:

Lincenses/Certifications:
Customs Broker:
NVOCC:
Bond Number (if U.S.):
OTI ( U.S. ONLY):
OTI License Number:
ISO Certified:
FIATA:
IATA/CNS:
Certification#:
Network Memberships
Other Membership's(Networks) or Certification

Please send FDB a scanned copy of each license or certificate your company possesses that you have said yes to above.

Selected Selected Selected

Please list the individuals, entities, or other ownership structure of your company.

Company Ownership

 
Name 1:
Percent Owned1: %
Name 2:
Percent Owned2: %
Name 3:
Percent Owned3: %
Capitalization (optional):
Specify Currency
If Public: Stock Exchange:
Shares Outstanding: 
Price: 
Currency:

Affiliations:

Please list any other private trade groups to which you belong:
Trade or Industry References & export, airfreight, custom formalities, trucking, regular consol boxes in import & export

Reference1

Company Name:

Skype:

Type of business:

Contact:

Country:

Phone:

Fax:

Email:

Reference2

Company Name:

Skype:

Type of business:

Contact:

Country:

Phone:

Fax:

Email:

Reference3

Company Name:

Skype:

Type of business:

Contact:

Country:

Phone:

Fax:

Email:

Does your company maintain an E&O policy?

Underwriter:  

Name of Applicant:*

E-mail:*

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WHAT WE OFFER

CERTIFICATION BENEFITS

Companies that are FDB Certified are listed on the FDB website
FDB Certified companies gets Agent inquiries FREE
Vetting Process for FDB Certified companies
New business opportunities
FDB Legal Network – Non-FDB Certified companies
FDB Certified companies Certificate
New FDB Certifications are announced each month in the FDB Newsletter to our 50,000 plus subscribers worldwide
Special Alerts
Free Collections service for any debt owed by an FDB Certified company