Company Information
Company Name*
Address*
City*
State*
Zip*
Phone*
Fax
Type*
ILA
Shipping Line
Stevedore
Tenant
Trucker
Vendor
Other
Representatives
Representatives are designated persons authorized by companies to submit employee badge request information, as well as being responsible for updating employee termination/separation, and other pertinent company informational changes via the GPA Credentialing Web site.
First Name*
MI
Last Name*
Title*
Phone*
Fax
Email*
Username*
Password*
Required
Optional
Optional
Notes: You will be notified within two business days, at the e-mail addresses you have provided, of the result of your company registration.