Falcon New Account Application Form

Your Falcon Service Rep. Name:*

Service Rep. E-mail:*

Registered Company Information:

Company Name*

Company Physical Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Company Billing Address (if different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Company Phone Number*

Country CodeArea CodePhone Number

Company Fax Number (Optional)

Country CodeArea CodePhone Number

Accounting Dept. E-mail*

example@example.com

Company Website (Optional)

Primary Contact Person Information:

Primary Contact Person Name*

Position Title*

Contact Person Phone Number*

Country CodeArea CodePhone Number

Contact Person E-mail*

example@example.com

Alternate Contact Person Information: (Optional)

Alternate Contact Person Name

Position Title

Contact Person Phone Number

Country CodeArea CodePhone Number

Contact Person E-mail

example@example.com

Logistic Services Requirement Information:

1. Is the stated Physical Address also your freight Pickup and/or Delivery Address?*

YESNO

2. Have you applied for credit term with Falcon in the past?*

YESNO

3. Do you have any special requirements/requests for billing?*

4. Type of Business (i.e. Retail, Wholesale, Construction, etc.)*

5. Please tell us about your business (Optional)

6. Years in Business*

7. Current Freight Forwarder / Transportation Provider (optional)

8. Type of Freight/Commodities involved in shipping*

9. Select the services needed*

AIRFCLLCLALL

10. Shipping Frequency (i.e. one shipment per Day, per Week, per Monthly, etc.)*

11. Average LBS/KGS per Shipment

12. Average CBM per Shipment

13. Do you ship Hazardous Materials?*

YESNO

14. If "Yes" to previous question, how often do you ship Haz Materials?

Once per week or per month...etc.

Pickup Requirements (for export shipments):

(if you don't have export shipments or don't need Pickup service from us, please answer "No" to below question)

15. Do you require pickup services from us for export shipments*

YesNoSometimes

Are there any special requirements for pickup we should be aware of?

Delivery Requirements (for import shipments):

(if you don't have import shipments or don't need delivery service from us, please answer "No" to all below questions)

16. Will your individual shipment require to deliver to multiple receiving locations?*

YESNO

17. If "Yes" to question above, how will you notify us of delivery instructions?

By E-mail / Phone / Notes on documents...etc.

If delivering to your appointed facility, please answer the following:

18. Does your appointed facilities have a forklift?*

YESNO

19. Does your appointed facilities have commercial docks (container docks)?*

YESNO

20. Does appointed facilities have ground level docks (drive-in dock)?*

YESNO

Please type in your company name in box below:*

Company Name

hereby appoints Falcon Logistics Global Inc. as the Authorized Agent to file all information required under the Importer Security Filing (10+2) program on behalf of our organization.

We understand all ocean importers are required to maintain a bond to guarantee ISF compliance. The ISF bond is not insurance and as the importer we understand we are fully responsible for any ISF Penalties as the bond principal. If we authorize a foreign entity to report the ISF required data elements, we understand we are responsible for penalties resulting from ISF violations.

We understand it is our responsibility as importer to have full knowledge of the ISF accuracy and to provide to Falcon Logistics Global Inc. 3 business days prior to laden on the vessel to ensure a timely filing with U.S. Customs and Border Protection. We further understand it is our responsibility to vet the transmitted ISF information and subsequently Falcon Logistics Global Inc. with more accurate information, if need be, 24 hours prior to the cargo arriving in the first U.S. port.

Falcon Logistics Global Inc. agrees to provide visibility of the transmitted information and ISF Transaction Number and any amendments upon requests.

Company TAX ID/ EIN# *

Authorized signatory (Print)*

An authorized signatory is a person allowed to act on behalf of your business, and their name is stated in your official business/company records. Sometimes there can be more than one authorized signatory, so two or more persons need to provide their signatures.

Authorized Signatory Title*

Authorized signatory (Signature)*

Signing Date*

Falcon Logistics Global Inc.

Account Name (帳戶名):	FALCON LOGISTICS GLOBAL INC.
Account Number (帳號):	3805170108 ($5000 over)
	580931878 ($5000 and under)
Bank Name (銀行名稱):	J.P. MORGAN CHASE
Bank Address (銀行地址):	17247 Colima Rd, City of Industry, CA 91748
Bank Phone Number (銀行電話):	626-964-7754
Bank Swift Code (銀行入境代碼):	CHASUS33
Bank Routing# (美國境內匯款碼):	322271627

Zelle Payment:	Contact@falconlog-lax.com

FALCON LOGISTICS GLOBAL INC.

667 BREA CANYON RD., STE 20B, WALNUT, CA 91789

TEL: 626-604-1188 | FAX: 909-895-7579 | CONTACT@FALCONLOG-LAX.COM

Please upload the following documents and submit with your new account set-up application.

Copy of signer's Driver's License or State Issued ID
Company SS-4 letter (IRS EIN# verification letter)

If your corporate SS-4 Letter is not in your possession, you may upload an alternative acceptable document listed below for substitution, either one of them will be acceptable.

File Upload

New Account Application Form

ISF Authorization Agreement

ACH/Wire Transfer Information