Apply Online Application Form Step 1 of 8 0% About the ApplicantCompany Name*Main (HQ) Office address*City*Postal Code*CountryTelephone number*WhatsAppEmail address*Website adress*President / Managing Director*Primary contact*Company Legal Status*Corporation*PartnertshipSole ProprietorIs the company a subsidiary of another company?*YesNoNameAddress Street Address City State / County Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Year Business EstablishedTotal number of employeesThe ASA requires that all ASA member's communication be in English. Please confirm your company's proficiency in conducting business in English* Yes Branch officesDo you have branch offices?YesNoPlease list by City and Country: Field of Activities, Licenses and CertificationsAirfreight*YesNoOcean freight*YesNoCustoms brokerage*YesNoCourier*YesNoWarehousing*YesNoNVOCC*YesNoIATA membership*YesNoIf yes please provide No.FIATA membership*YesNoIf yes please provide No.Local freight association*YesNoPlease provide detailsISO 9000/9002*YesNoPlease provide details Bank DetailsName of BankAddress of BankAccount nameIBAN No.BIC No. Credit ReferencesName of Credit Reference 1*Company Name - Contact Name - email address - Credit Reference 1 Company Name - Contact name email Address*Name of Credit Reference 2 Company name - Contact Name email address*Credit Reference 2 Address* Were recommended by an existing ASA member?Existing Member Name:Existing member Location: Additional informationPlease provide any additional information or references that you think would be helpful for the ASA to have when considering your interest and application for membership.Contracts/Affiliation*YesNoIs your company bound by contract or affiliated to any similar group or multi-national company that would conflict with the interests of ASA members? If yes, please name the parties and contracts: Application made byNamePositione-mail addressDateUntitled This iframe contains the logic required to handle Ajax powered Gravity Forms.
