Agent Request Form Complete this form to start the process of becoming an official Logistics Plus® freight agent. Name(Required) First Last Company Name(Required) Job Title/Area Email(Required) Phone(Required) Area of Interest(Required) Domestic Agency International Agency Address(Required) City(Required) State/Province(Required) Zip/Postal Code(Required) Country(Required) Current Annualized Revenue(Required) Additional Comments or InstructionsHow did you learn about Logistics Plus CAPTCHA Δ