CUSTOMER REGISTRATION

REVIEW REGISTRATION

Please review your R+L Global Logistics customer registration information below.

BUSINESS NAME

ADDRESS

CITY

STATE -1

ZIP CODE

PHONE NUMBER

FAX NUMBER

EMAIL ADDRESS

TAX ID/EIN NUMBER

YEARS IN BUSINESS

TYPE OF BUSINESS(NAICS CODE)

D&B Number

OWNERSHIP TYPE

GLOBAL REPRESENTATIVE No

CONTACT NAME(S)

R+L ACCOUNT No

R+L ACCOUNT

NAME

PHONE #

NAME

PHONE #

SPECIFIC EQUIPMENT NEEDS REQUIRED

Please review all information before clicking the register button. Thank you.