Customer Form

Hidden
Agent Name
Hidden
Agent Email
Hidden
Token
Client Form
Company Name*
0 of 60 max characters
Company Registration No.*
0 of 25 max characters
Company Address*
COMPANY ADDRESS CITY STATE ZIP CODE COUNTRY
Contact Details
Logistics / Operations
Name of Contact Person – 1*
0 of 49 max characters
Name of Contact Person – 2 (Optional)
0 of 49 max characters
Designation / Title*
0 of 35 max characters
Designation / Title
0 of 35 max characters
Mobile Number*
Mobile Number
Office Number
Office Number
Email Address*
Email Address
Accounting / Finance
- Same as Primary Contact
Full Name*
0 of 49 max characters
Designation / Title*
0 of 35 max characters
Mobile Number*
Office Number
Email Address*
Hidden
Signer First name
Hidden
Signer Last name
Preferable Invoice Currency*
Insurance
*
- I would like Unicargo to coordinate insurance coverage to all my freight handled by Unicargo.
- I do not want Unicargo to coordinate insurance coverage to all my freight handled by Unicargo.
*
- In case you do not wish purchase insurance for your cargo through Unicargo, it is hereby agreed that you wave subrogation rights against Unicargo.
Terms & Conditions
Terms & Conditions*
- I agree to the terms and conditions published at Unicargo's Website.

Global Logistics