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Independent truck dispatch services for Carriers and owner operators
Carrier Agreement
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Company Name
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DBA (if Any)
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City
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State / Province / Region
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ZIP / Postal Code
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Address Line 1
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Phone Number
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Email
*
MC#
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FEIN/SSN
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Number Of Trucks?
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Number Of Drivers?
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Do you factor your invoices?
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Yes
No
what type of equipment you have.?
*
MC Authority
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NOA/Void Check
*
W9-Form
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Certificate of Insurance
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Expedition
Flatbed
Step Deck
Reefer
Hotshot
Sprinter van
Box truck
Power Only
Dry Van
Contact Us
30 N GOULD ST STE R UNIT 18B, SHERIDAN WY 82801
mark@xmilesdispatchingservices.com
xmilesdispatchingllc@gmail.com
+1 (209)-560-7963
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