Suppliers

To become an Axsun supplier, please, fill in and return this form along with the following documents:

• Certificate of Insurance. NOTE: Certificates must be submitted from your insurer or agent, showing Axsun Inc./Axsun Corp. as certificate holder

Send an electronic copy to: suppliers@axsungroup.com or by fax to 450-445-3427.

 

• Provincial, State or Federal authority (Please attach documents in PDF format below)

 

Supplier Information

 

Business Name: Street Address: City: State/Prov: AlabamaAlaskaAlbertaArizonaArkansasBritish ColumbiaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineManitobaMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew BrunswickNew HampshireNew JerseyNew MexicoNew YorkNewfoundland and LabradorNorth CarolinaNorth DakotaNorthwest TerritoriesNova ScotiaNunavutOhioOklahomaOntarioOregonPennsylvaniaPrince Edward IslandPuerto RicoQuebecRhode IslandSaskatchewanSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingYukon Zip/Postal: Primary Contact Name: Phone Number: Fax Number: E-Mail Address: Website: Years In Business: C-TPAT Certified? Yes
No

SVI Number:

Geographic Area Served By Company: Equipment Type(s): Services Offered:

 

• Intermodal
• Highway
• Logistics
• Drayage
• Warehousing
• RFP Management