Mears Transportation Onboarding

Mears Transportation Onboarding
Carrier Legal Name*
DBA Name (If Applicable)
MC #*
DOT #*
EIN or SSN #*
Physical Address*

Street Address

Street Address Line 2

CityState

Zip Code
Mailing Address Same As Above?

YesNo
Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Fax Number*
Corporate Contact
Name*

First NameLast Name
Phone Number*
Fax Number*
Email*
example@example.com
Dispatch Contact
Name*

First NameLast Name
Phone Number*
Fax Number*
Email*
example@example.com
Accounting Contact
Name*

First NameLast Name
Phone Number*
Fax Number*
Email*
example@example.com
Factoring Information
Are you factoring?*

YesNo
Factoring Company Name*
Factoring Company Phone*

Area CodePhone Number
Factoring Remit To Address*

Street Address

Street Address Line 2

CityState

Zip Code
Other Information
Carrier Type*
Equipment Type(s)*

VanReeferFlat/Step with TarpsConestogaTankerHopper
Desired Lanes
Please list your desired origins and destinations (Ex: Denver, CO to Wichita, KS)*
Trade Reference #1
Company Name*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Contact Name*

First NameLast Name
Phone Number*
Email*
example@example.com
Trade Reference #2
Company Name*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Contact Name*

First NameLast Name
Phone Number*
Email*
example@example.com
Trade Reference #3
Company Name*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Contact Name*

First NameLast Name
Phone Number*
Email*
example@example.com
Documents and Agreements
Please attach the following files below:

1) W9
2) Motor Carrier Authority
3) Certificate of Insurance Showing Mears Fertilizer, Inc. as Certificate Holder:

Mears Fertilizer, Inc.
P.O. Box 1271
El Dorado, KS
67042

4) If broker, download and fillout the Broker Transportation Agreement, and attach the completed agreement
Attach Files*

Browse Files
Allowed Files: .pdf, .jpg, .png. Max File Size: 4MB. Cancelof
By signing below you agree to the following:

Loading Information
All flatbed loads must be fully tarped.
Load weights are 45,500 unless otherwise noted.
Dock hours are 7:30 am – 3:30 pm Monday – Friday.
Loading times often based on production schedule.

Transportation Agreement
Click here to read Carrier Transportation Agreement
Attach Files*

Browse Files
Allowed Files: .pdf, .jpg, .png. Max File Size: 4MB. Cancelof
Digital Signature
Each party agrees that the electronic signatures, whether digital or encrypted, of the parties included in this Agreement are intended to authenticate this writing and to have the same force and effect as manual signatures. Delivery of a copy of this Agreement or any other document contemplated hereby bearing an original or electronic signature by facsimile transmission (whether directly from one facsimile device to another by means of a dial-up connection or whether mediated by the worldwide web), by electronic mail in “portable document format” (“.pdf”) form, or by any other electronic means intended to preserve the original graphic and pictorial appearance of a document, will have the same effect as physical delivery of the paper document bearing an original or electronic signature.
Signature*

Clear
Please verify that you are human*
Should be Empty:

Mears Transportation Onboarding

Corporate Contact

Dispatch Contact

Accounting Contact

Factoring Information

Other Information

Desired Lanes

Trade Reference #1

Trade Reference #2

Trade Reference #3

Documents and Agreements