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New Agent Registration Form

Company Name

*

Company Address

*

Untitled checkboxes field

WCA Member

Primary Contact Person

*

*

*

Untitled checkboxes field

Accounting contact same as Primary

Accounting Contact Person

Main Account Currency

*

Main Account Currency

A

USD

B

EUR

C

ILS

D

GBP

BL Instructions - please instruct us how to create the BLs/AWBs when sending shipments to you

W9 - Please attach your W9 form filled up and signed

*

Company VAT/EIN number

*