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Empire State Shippers Association
PO Box 1185
Buffalo, NY 14240

Phone: 716-856-9552
Toll Free: 800-627-3664
Fax: 716-847-8842

Please check which one applies: Corporation Individual Trade Assoc. Co-operation Other
Comapny Name:
Company Address:
Street Address:
City:
State:
Zip Code:
Shipping Address:
Street Address:
City:
State:
Zip Code:
Phone Number:
Fax Number:
Contact Person:
Federal ID No.:
Email:
Website Address:
DAB Names & Other Locations: