Directions • Registration is simple and should only take one or two minutes. • Print this form and Fax to (701)-271-9199 or Mail with enclosed check or P.O. to the address below.
• Required fields are indicated with an asterisk ( * ).
Contact and Billing Information
DUNS _________________________________
Country * ________________________________
CAGE _________________________________
Zip / Postal Code * _________________________
Company Name ________________________
If overseas, precede
your phone and fax numbers with 011.
First Name *
____________________________
Phone * _________________________________
Last Name * ____________________________
Fax _____________________________________
Contact / Shipping _________________________
Important: Your
Email Address is your Username!
Address * ______________________________
Email * __________________________________
City * __________________________________
Account Type *
Buyer
Seller
Both
If
outside the United States, write in N/A below.
State / Province * _________________________
• Sellers are able
to upload their inventory lists for inclusion in our databases.
• Both Sellers and Buyers are able to utilize the PartsLogistics.com
Search functions.
Select a Membership Plan
Directions
• View our Services section for further details of
features and pricing.
• You can upgrade your membership level at any
time from the Dashboard - Membership - View Membership Plan section.
Membership Types
Pricing / Rates
Fax Discount
Monthly Premium
$79.95 / month
30% Discount
Yearly Premium
$699.00 / year Discount of $260.40
30% Discount
Payment Method
Place a check next to the plan you are choosing
Yearly
Monthly
Enclosed Check Number _________________________
Purchase Order Number _________________________(please include a copy of the P.O.)
Credit Card Type _______________________________
Name ________________________________________ (as printed on card)
Card Number __________________________________
Expiration Date _________________________
I hereby authorize PartsLogistics to charge the above credit card for services received, and
I agree to the Terms of Use.
Signature of card holder _________________________
Make checks and P.O.s payable to:
PartsLogistics
1801 23rd Ave. North
Hector Airport, Suite 111
Fargo, ND 58102
USA
