Supplier Account Application Form All information with a * is mandatory * Please confirm that you accept Letter of Credit from TOP EU banks ...Please tell us about your company... Company Name Company Website Have you ever done business or have existing accounts with Enhanced Logistics 21 or any of it's affiliates? Yes No Type of Business (Click all that apply) Farmer/Producer Manufacturer Packing House Import/Export Trader Shipping Others What services and/or product(s) do you offer? What are you offering us today? Company Type Proprietorship Partnership Limited Partnership Corporation Limited Liability Non-Profit Foundation date (Year) Length of time in business Number of Employees Annual Revenues in $ Please share with us at least one reference you work with: Business name Contact person Title Mobile number Email ...Please share with us your contact information... Company Address Postal Code City Country Main Contact Person Title Mobile number Email Owner, Partner or Corporate Officer Title Mobile number Email ...Please share with us who your bank is... Bank name Bank account number Postal code City Country ...Anything else you want to share with us?... Send
