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SAMEDAY Courier local represenative application
Please answer each item in the form correctly. Make sure that all required fields and check boxes are answered. Place NA (Not Applicable) for fields that are not relevant to you. Online form will not submit if required fields and check boxes are left blank. Items with the mark are required fields.

If you are approved to become a SAMEDAY Courier Independent Contractor you will be able to manage multiple business areas. To begin the process you must provided at least one preferred city.
What are your preferred locations City*
State*
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Mobile*

Area CodePhone Number
Phone Number*

Area CodePhone Number
Work Phone*

Area CodePhone Number
May we call you at work*

YesNo
Best time to call*
Fax*

Area CodePhone Number
Tell us something about yourself*
Birth Date*

MonthDayYear
Your education*
Your employer*
Address*
Type of business*
Your Title*
How long*
Have you ever owned or managed a business*

YesNo
If yes please explain:
Do you have any driving or courier experience*

YesNo
If yes please explain
Have been convicted of a crime in the past seven years*

YesNo
If yes please explain.Conviction will not necessarily disqualify an applicant
How did you hear about us*
Can you legally work in the USA*

YesNo
Available to work*
I understand and acknowledge that this form is an Independant Contractor application and not an employment application*

Yes
I understand and accept the SAMEDAY Companies Terms and Conditions*

Yes
Should be Empty:

SAMEDAY Courier local represenative application