TRUCKING QUOTE FOR ECLIPSE

1
Vehicle 1 Information
Select Year
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
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2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
Year
LAST 6 of the VIN Number
Roger Strickland
Jason Robertson
Robert Robertson
Pierre Walker
Thaddish Collins
Arlnold Gathings
Which Driver , drives this truck?
Value of this vehicle
2
Vehicle 2 Information
Select Year
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
Year
LAST 6 of the VIN Number
Roger Strickland
Jason Robertson
Robert Robertson
Pierre Walker
Thaddish Collins
Arlnold Gathings
Which Driver , drives this truck?
Value of this vehicle
3
Vehicle 3 Information
Select Year
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
Year
LAST 6 of the VIN Number
Roger Strickland
Jason Robertson
Robert Robertson
Pierre Walker
Thaddish Collins
Arlnold Gathings
Which Driver , drives this truck?
Value of this vehicle
4
Vehicle 4 Information
Select Year
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
Year
LAST 6 of the VIN Number
Roger Strickland
Jason Robertson
Robert Robertson
Pierre Walker
Thaddish Collins
Arlnold Gathings
Which Driver , drives this truck?
Value of this vehicle
5
Vehicle 5 Information
Select Year
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
Year
LAST 6 of the VIN Number
Roger Strickland
Jason Robertson
Robert Robertson
Pierre Walker
Thaddish Collins
Arlnold Gathings
Which Driver , drives this truck?
Value of this vehicle
6
Vehicle 6 Information
Select Year
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
Year
LAST 6 of the VIN Number
Roger Strickland
Jason Robertson
Robert Robertson
Pierre Walker
Thaddish Collins
Arlnold Gathings
Which Driver , drives this truck?
Value of this vehicle
7
Vehicle 7 Information
Select Year
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
Year
LAST 6 of the VIN Number
Roger Strickland
Jason Robertson
Robert Robertson
Pierre Walker
Thaddish Collins
Arlnold Gathings
Which Driver , drives this truck?
Value of this vehicle
8
Vehicle 8 Information
Select Year
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
Year
LAST 6 of the VIN Number
Roger Strickland
Jason Robertson
Robert Robertson
Pierre Walker
Thaddish Collins
Arlnold Gathings
Which Driver , drives this truck?
Value of this vehicle
9
Vehicle 9 Information
Select Year
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
Year
LAST 6 of the VIN Number
Roger Strickland
Jason Robertson
Robert Robertson
Pierre Walker
Thaddish Collins
Arlnold Gathings
Which Driver , drives this truck?
Value of this vehicle
10
Vehicle 10 Information
Select Year
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
Year
LAST 6 of the VIN Number
Roger Strickland
Jason Robertson
Robert Robertson
Pierre Walker
Thaddish Collins
Arlnold Gathings
Which Driver , drives this truck?
Value of this vehicle
11
Vehicle 11 Information
Select Year
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
Year
LAST 6 of the VIN Number
Roger Strickland
Jason Robertson
Robert Robertson
Pierre Walker
Thaddish Collins
Arlnold Gathings
Which Driver , drives this truck?
Value of this vehicle
12
Vehicle 12 Information
Select Year
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
Year
LAST 6 of the VIN Number
Roger Strickland
Jason Robertson
Robert Robertson
Pierre Walker
Thaddish Collins
Arlnold Gathings
Which Driver , drives this truck?
Value of this vehicle
13
Vehicle 13 Information
Select Year
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
Year
LAST 6 of the VIN Number
Roger Strickland
Jason Robertson
Robert Robertson
Pierre Walker
Thaddish Collins
Arlnold Gathings
Which Driver , drives this truck?
Value of this vehicle
14
Vehicle 14 Information
Select Year
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
Year
LAST 6 of the VIN Number
Roger Strickland
Jason Robertson
Robert Robertson
Pierre Walker
Thaddish Collins
Arlnold Gathings
Which Driver , drives this truck?
Value of this vehicle
15
Vehicle 15 Information
Select Year
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
Year
LAST 6 of the VIN Number
Roger Strickland
Jason Robertson
Robert Robertson
Pierre Walker
Thaddish Collins
Arlnold Gathings
Which Driver , drives this truck?
Value of this vehicle
16
Select Driver and InfoYou will select one driver at a time
Roger Strickland
Jason Robertson
Robert Robertson
Pierre Walker
Thaddish Collins
Arlnold Gathings
SELECT DRIVER
Date Hired
How long has this driver held a CDL?
Zipcode of Home Address:
17
Select Driver and InfoYou will select one driver at a time
Roger Strickland
Jason Robertson
Robert Robertson
Pierre Walker
Thaddish Collins
Arlnold Gathings
SELECT DRIVER
Date Hired
How long has this driver held a CDL?
Zipcode of Home Address:
18
Select Driver and InfoYou will select one driver at a time
Roger Strickland
Jason Robertson
Robert Robertson
Pierre Walker
Thaddish Collins
Arlnold Gathings
SELECT DRIVER
Date Hired
How long has this driver held a CDL?
Zipcode of Home Address:
19
Select Driver and InfoYou will select one driver at a time
Roger Strickland
Jason Robertson
Robert Robertson
Pierre Walker
Thaddish Collins
Arlnold Gathings
SELECT DRIVER
Date Hired
How long has this driver held a CDL?
Zipcode of Home Address:
20
Select Driver and InfoYou will select one driver at a time
Roger Strickland
Jason Robertson
Robert Robertson
Pierre Walker
Thaddish Collins
Arlnold Gathings
SELECT DRIVER
Date Hired
How long has this driver held a CDL?
Zipcode of Home Address:
21
Select Driver and InfoYou will select one driver at a time
Roger Strickland
Jason Robertson
Robert Robertson
Pierre Walker
Thaddish Collins
Arlnold Gathings
SELECT DRIVER
Date Hired
How long has this driver held a CDL?
Zipcode of Home Address:
22
Fill In The Following InformationThank you, Jamie.
TAX ID NUMBER
GROSS RECEIPTS FOR 2019
ESTIMATED GROSS RECEIPTS FOR 2020
23
ELD & Maintenance Plan Information
What brand ELD (Electronic Logging Device) do you use?
Do you have a vehicle maintenance plan?
Should be Empty: