CONTACT INFORMATION:

Company Name:  

Address:  

City:  

State/Province:  

Zip/Postcode:   

Country:  

 Contact Name:  

Position:  

Telephone (Include country/area codes):  

Fax (Include country/area codes):  

Email:  

Corporate Website:  

COMPANY INFORMATION:

Services offered:   

(For multiple choices, hold Ctrl Key)   

Licenses held (FIATA, IATA, OTI,   

FMC, NVOCC, CHB, DOT, etc.):   

List location of Offices (if more than one):   

List key markets/routes if any:   

List specific niche markets, products   

 or services - if any:  

Number of year in business:   

Number of employees:   

Are you profitable?:   

After a transition period, are the working    

owners looking to stay on with the Buyer?:   

Latest Year End Financial Condition:   

(in US$000's):   

Revenue/Billing:  

Cash Flow/EBDITA:  

Assets:  

General Description of the Company to be   given to the prospective Buyer   

(Max 250 characters):  

Can Trans-Buyer.com release this information onto   

our Affiliate(s) in your geographic location