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THE HIGHWAY CONNECT LLC
THE HIGHWAY CONNECT LLC
THE HIGHWAY CONNECT LLC
THE HIGHWAY CONNECT LLC
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CARRIER PACKET
CARRIER PACKET
CARRIER PACKET
CARRIER PACKET
THANK YOU FOR CHOOSING THE HIGHWAY CONNECT LLC. 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 ADDRESS
*
PREFERRED METHOD OF CONTACT
*
YES
NO
MC#
*
DOT#
*
WHAT TYPE OF TRAILER(S) DO YOU HAVE? (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 NAME
*
FACTORING COMPANY PHONE#
*
DRIVER(S) NAME(S)
*
PREFERRED GEOGRAPHICAL LANES
*
SOUTHERN STATES
WEST COAST STATES
MIDWEST STATES
SOUTHEASTERN STATES
NORTHEASTERN STATES
ZONE 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 THE HIGHWAY CONNECT
*
INSURANCE COMPANY NAME (Copy of Original Certificate will be requested)
*
AGENT AND CONTACT INFORMATION
*
STARTING LOCATION
*
HOW LONG HAVE YOU HAD YOUR AUTHORITY?
*
Submit
DEPOSIT
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