West Texas New Mexico Custom Brokers Association

Registration Application

Connect. Advocate. Lead. Advance.

FIRM'S INFO

FIRM'S NAME

STREET ADDRESS

STREET ADDRESS LINE 2

CITY

STATE

POSTAL/ZIP CODE

CHIEF EXECUTIVE'S INFO

NAME OF CHIEF EXECUTIVE

CHIEF EXECUTIVE'S TITLE

CHIEF EXECUTIVE'S EMAIL

PRIMARY CONTACT INFO

TITLE

AREA CODE

PHONE NUMBER

SECONDARY CONTACT INFO

TITLE

AREA CODE

PHONE NUMBER

Requesting Membership in the West Texas New Mexico Custom Brokers Association Inc, on Behalf of Said Firm above as a:

REGULAR MEMBER: A company engaged for hire by the public to transact Customs business on their behalf.

ASSOCIATE MEMBER: A company that employs an in-house Licensed Custom Broker for the District/Port of El Paso, Texas.

AFFILIATE MEMBER: A company that engages in forwarding, transportation and the like, but not transacting as a Customs Broker for hire or having a Licensed Customs Broker on Staff.

CUSTOM BROKERAGE LICENSE

CHOOSE LICENSE FILE

I agree to observe and uphold the bylaws and Code of Ethics of the Association, once elected as member.

YOUR FULL NAME

YOUR TITLE

About Membership:

Membership with WTNMCBA is valid for a year. You will only be charged once and may renew your membership after your yearly benefits end.

Though you are filling an electronic agreement, we need you to print a copy for your own records

Once your submission has been accepted you will receive an email confirmation from us with details about how to generate your member log-in information

Registration Application

Application Received!

FIRM'S INFO

CHIEF EXECUTIVE'S INFO

PRIMARY CONTACT INFO

SECONDARY CONTACT INFO

Click here download Application Form to fill manually.