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TRANSPORTATION L.L.C.
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CARRIER PACKET
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CARRIER PACKET
CARRIER PACKET
THANK YOU FOR CHOOSING TALENTED TRANSPORTATION. PLEASE FILL OUT THE FOLLOWING INFORMATION TO THE BEST OF YOUR ABILITY. IF THE QUESTION DOES NOT APPLY TO YOU PLEASE ANSWER "N/A" IN THE BLANK SPACE
FULL NAME
*
DATE
*
COMPANY NAME OR DBA
*
PHONE
*
Email
EMAIL ADDRESS
*
PREFERRED METHOD OF CONTACT
*
PHONE
EMAIL
MC#
*
DOT #
*
EHAT TYPE OF TRAILER(S) DO YOUHAVE? (include dimensions & equipment you have)
*
HOW MANY TRUCKS DO YOU HAVE?
*
DO YOU HAVE A FACTORING COMPANY?
*
YES
NO
IF "NO", HOW DO YOU INTEND TO GET PAID?
FACTORING COMPANY PHONE #
*
DRIVER(S) NAME(S)
*
PREFERRED GEOGRAPHICAL LANES
*
SOUTHERN STATES
WEST COAST STATES
MIDWEST STATES
SOUTHEASTERN STATES
NORTHEASTERN STATES
ZONES TO AVOID
*
ZONE 0
ZONE 1
ZONE 2
ZONE 3
ZONE 4
ZONE 5
ZONE 6
ZONE 7
ZONE 8
ZONE 9
LIST ANY PREFERRED LANE DETAILS
*
BREAK EVEN POINT
*
MAX LOAD CAPACITY
*
EMAIL ADDRESS TO RECEIVE INVOICES FROM TALENTED TRANSPORTATION
*
INSURANCE COMPANY NAME (Copy of Original Certificate will be requested)
*
AGENT AND CONTACT INFORMATION
*
STARTING LOCATION(S)
*
HOW LONG HAVE YOU HAD YOUR AUTHORITY?
*
Submit
DEPOSIT
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