Faircosa Commodity Supplier - Soil Amendments, fertilizers, and other things plant crops like!
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New Vendor Signup

Welcome to the FairCosa Vendor Sign up page. Here you can submit your information to do business with us.


Please complete the following as completely as possible.

Once submitted, please email a copy of your ACH info, COI/POI, & your signed w9 to Support@FairCosa.com.

Please name FairCosa LLC as the cert holder on the COI/POI.

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Company Info:


Business Name
               

Address
     

City
     

State
     

Zip Code



MC#



DOT#



Tax ID# (EIN from w9)



 Carrier    Broker    Both


-------------------------------------------------------------


POC Information:


Phone#



Cell#



Email Address



Driver Info:

CDL#:                                                      Truck#

         


Cell#                                                        Trailer#  (if not PO)

         


If different than above:

Carrier MC#:   



Comments:




Questions?

Ask Away!



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Location


 


Column
  • External link opens in new tab or windowKlamath Falls, OR 97603 & White CIty, OR 97503
  • External link opens in new tab or windowSupport@FairCosa.com
  • External link opens in new tab or window216.577.9909



  • External link opens in new tab or window216.577-9909
  • External link opens in new tab or windowSupport@FairCosa.com
  • External link opens in new tab or windowKlamath Falls, OR 97603 & White City, OR 97503
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