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Client Portal

New Vendor Form

JD Logistics New Vendor Form

For your security, all data submitted through this form is automatically purged from our online database within 7 days of your submission. If you have any questions or concerns regarding the security of your information, please send an email regarding your concerns to josh@jdlogistics-inc.com.

New Vendor Form

Date / Time

Company Name

Please select the JD Logistics representative with whom you are working:

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

A/R Contact Name

A/R Contact Email

Phone Number

Ext.

Are you part of any network?

WCA

WFN

WWPC

OLO

JC Trans

If you selected WCA, do you accept WCA Partner Pay?

Yes

Network ID

Is this company a foreign entity? ( Outside of the U.S.A)

Yes

Is your company currently involved in C-TPAT or any other security programs?

Please upload wire banking instructions (PDF, JPG, PNG, DOCX, etc)

Choose File

Please upload your W-9 (PDF, JPG, PNG, DOCX, etc)

Choose File

EIN/Tax ID:

ACH/ Wire banking information

Beneficiary Name

Bank Name

Bank Address

Address Line 1

City

State

Country

Account #

Routing #

SWIFT Code

IBAN

Does vendor accept American Express?

Yes

Please upload credit card form if vendor accepts American Express (PDF, JPG, PNG, DOCX, etc)

Choose File

Terms provided

30 day terms

15 day terms

COD

Other

If other, please list:

First Name

Last Name

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