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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
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
If yes please explain:
Do you have any driving or courier experience
If yes please explain
Have been convicted of a crime in the past seven years
If yes please explain.Conviction will not necessarily disqualify an applicant
How did you hear about us
Can you legally work in the USA
Available to work
I understand and acknowledge that this form is an Independant Contractor application and not an employment application
I understand and accept the SAMEDAY Companies Terms and Conditions
Should be Empty:

SAMEDAY Courier local represenative application