Global Project Logistics Network --------------------------------------------

Application Form

Sign up for membership with GLOBAL PROJECT LOGISTICS NETWORK!

1. GPLN annual membership dues are USD 3000.00 per head office and USD 1000.00 per branch (per country).

2. Please fill out the below format for your application. We reserve the right to revert with further questions.

3. If you experience any trouble submitting this form, please e-mail: coordinator@gpln.net.

Name

Position

Organization

Address1

Address2

City

State/Province

Zip/Postal Code

Country

Work Phone

Fax

E-mail

URL

Do you belong to any other networks or business associations?

Yes No

If so, which one(s)?

Your company's specialist fields

membership for 1 head office and branch(es)

Please supply professional project logistics references of project forwarders or break bulk charter specialists who have acted as agents for your company within the past year specifically on project cargo.

These references must be based overseas and cannot be from your home country / base port market.

These references, with complete details, are required from all applications before GPLN can consider their membership!

1st Reference	Contact :	Company Name :	Type of Business :
1st Reference	Phone :	Fax :	E-mail :
2nd Reference	Contact :	Company Name :	Type of Business :
2nd Reference	Phone :	Fax :	E-mail :
3rd Reference	Contact :	Company Name :	Type of Business :
3rd Reference	Phone :	Fax :	E-mail :
4th Reference	Contact :	Company Name :	Type of Business :
4th Reference	Phone :	Fax :	E-mail :

By sending this form, I agree to pay the membership fees due to GPLN for one head office, plus the specified number of branches.

Please note: we shall respond to you by e-mail for confirmation before taking any further action