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Carrier Data
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Carrier SCAC
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MC#
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Carrier Name
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Address line 1
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Address line 2
City
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State
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Zip Code
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Country
General Information
1. Asset Carrier or Brokerage?
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Asset
Broker
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2. How many tractors does the company operate? (only for an asset carrier)
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Tractors
N/A
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3. Trailer type and number of trailers (only for an asset carrier)
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Flat Beds
Aluminum Dumps with Coil Pack
Step Deck
Steel Dumps with Coil Pack
Side Kits
Conestogas
Other:
N/A
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4. Can you haul overweight loads? (only for an asset carrier)
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Yes
No
If yes, how heavy?
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(LBS)
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5. Does your company have a brokerage division? (only for an asset carrier)
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Yes
No
Does you plan on using your brokerage division to handle BRS freight?
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Yes
No
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6. States with authority
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7. How much weekly volume can your company provide for BRS?
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Trucks/Week
Spot volume only
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8. Describe your vetting process for signing on carriers:(only for a brokerage)
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9. Minority Owned?:
Yes
No
Contact
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Name:
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Title:
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Phone:
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Email:
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