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100 24TH ST W STE 1 OFFICE 3165 BILLINGS MT 59102
( +1 ) 630-882-4557
( +1 ) 406-225-1175
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Box Truck Dispatch Service
Dry Van / Reefer
Hotshot Dispatch Services
Power Only Dispatch Services
Step Deck and Flatbed Dispatch Service
Contact Us
Menu
Home
About
Services
Box Truck Dispatch Service
Dry Van / Reefer
Hotshot Dispatch Services
Power Only Dispatch Services
Step Deck and Flatbed Dispatch Service
Contact Us
Become a Carrier
Become a carrier
Carrier Setup Form
Last
Name
Email
Company Name
DBA (if any )
Street ADdress
Address Line 2
City
State
Zip Code
United States of America
Primary Phone Number
Secondary Phone Number
Emergency Contact Name
Emergency Contact Numbers
Website URL (if any)
DOT Number
Motor Carrier Number
SSN/EIN
TWIC Card
HAZMAT CERTIFICATION (If yes please provide Hazmat Certification PDF and Training Certs)
Equipment (All Flatbeds must have their own securement equipment to include tarps!!!) *
Van/Reefer
Flatbed
Step Deck
Hot Shot
Box Truck
Other
Choose all that apply
PPE Gear
Dolly
Air Ride
Straps/Binders
Straps/Binders
Lift Gate
Dock High
Pallet Jack
Any other details, please specify.
Truck Number
Trailer number
Trailer Dimensions (Box Truck, VANs & Reefers ONLY L X W X H)
Lanes you like to Travel (will be discussed over the phone as well)
Cost per Mile ( Total Monthly Expenses/Miles per month + Average cost of 1 gallon of Fuel/Miles per Gallon your Truck averages = Cost per Mile) *Worksheet can be Provided
Factoring Company (to ensure we deal only with brokers that are approved by your company)
Factoring Company Agent Name (full name)
Factoring Company Email *
Website (For Factoring)
Factoring Company Username
Insurance Company
Insurance Agent Name
Insurance Agent Phone Number
Insurance Agent Email (for Certificate Requests)
MC Authority Letter
W9 Form
NOA
Certificate of Insurance
Void Cheque
SUBMIT
