Step 1 of 6 16% Trilogy Depots Required:* Trilogy Manchester Trilogy London Heathrow Company Name*Company Number*VAT NumberCompany Address Street Address City County / State / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Phone*Email* Accounts Contact Name* First Last Accounts Email Accounts Phone Bank NameHow long has this account been opened:Credit Limit Requested (Terms: 30 Days EOM) In the case of a shipment having to be screened by one or more screening methods you agree for Trilogy Freight to proceed and conduct screening, using an approved alternative screening method. In this instance you agree to pay the additional screening charges as per our current standard tariff. Yes, I agreeNo, I do not agreeIn the case of a shipment having to be screened by one or more screening methods you agree for Trilogy Freight to proceed and conduct screening, using an approved alternative screening method. In this instance you agree to pay the additional screening charges as per our current standard tariff. Please tick if you agree In exceptional circumstances, if Trilogy freight are unable to screen a shipment in time to make a given airline cut off do you wish Trilogy Freight to either: *Please select one option from the list below Deliver the cargo in as “unknown” to the airline to make the flight cut off Hold the cargo for screening making the cargo “SPX” and deliver in when possible *If you wish that this is reviewed on a shipment by shipment basis then you must advise Trilogy at the time of booking the shipment.Please Provide out of hours contact detailsName First Last PhoneEmail Please note we do not offer a labelling service as standard. Trilogy Freight asks all agents to label their own freight. For FOC labelling, that we do on occasion to assist customers, Trilogy Freight do not accept liability for labelling of cargo. For a chargeable labelling service that offers insurance cover please contact Victoria vswindell@trilogyfreight.com for more details.* I have read and agree with the above statement User(s) details to set up online access to webtracker(track/trace/pods)Contact Name For Web TrackerUsernamePreferred PasswordEmail addresses for notificationsOperations Notifications Email Operations Notifications Email(Booking confirmation, pricing, POD's)Invoices Invoices EmailStatements & Chase Letters Signature (Authorised Official)Name First Last PositionDate Consent* We hereby confirm our acceptance of your current terms and conditions (Current RHA Terms & Conditions 1998) which can be viewed here. Email Consent* YES, please sign me up to emails that may contain important information Please DO NOT add me to an email list NameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.
