MEMBER REGISTRATION  
 

Account Number* :

Username* :
Password* :
Company Name (as in RCB) :
RCB number :
First Name* :
Last Name* :
Tel* :
Fax :
E-mail* :
Registered Address* :
Billing Address
(If different from Registered Address)
:
Registration Date* :

Type of Service required*
(delete where applicable)

  AdHoc
  Fixed
 Others
  please specify:

Number of trips required monthly*

:

Required mode of Courier*

  Motorbike
  Van
  Truck
 Others
  please specify:
 
 
 
 


 

 

 

 

 
   

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