FusionNetwork Registration

Company Information
Please provide the following information about your company.
Company Name:*
US DOT:
Authority (MC/FF):
Federal Tax ID:
SCAC:
C-TPAT Certification:
Safety Rating:
Minority Certified?
MWBE Type:
MWBE Expiration:
HazMat Certified?
* Indicates required fields.
Address
Please provide the physical address where your company is located and the remit-to address (If different).
Physical Address:*
Company Name Address City State / Province Postal Code Country
Mailing/Remit Address:
(Payment Remit to Address / Factoring Company Address)

Same as Physical Address

Company Name Address City State / Province Postal Code Country
* Indicates required fields.

Contact Information
Please provide a complete list of contacts. Please include after-hours contacts. (Click the plus (+) symbol to add additional contacts.)

Operations

Full Name	Title	Office	Ext	Fax	Mobile	Email

Up to 5 contacts.

Accounting

Full Name	Title	Office	Ext	Fax	Mobile	Email

Up to 5 contacts.

Sales

Full Name	Title	Office	Ext	Fax	Mobile	Email

Up to 5 contacts.

Notifications Emails*
Please indicate the email address or group where Logico should send the following notifications.
Load Tenders Freight Bids
EDI Capable?*
Logico's EDI specifications are available to download from our website.

Company Information