Carrier Onboarding

MDJ On-Demand Divine Freight Brokerage LLC.

108 Northgate Park Dr. Winston-Salem, N.C 27106 Phone: (336) 390-3607 Email:Broker@mdjondemand.com Website:www.mdjondemand.com
Carrier Onboarding Profile

Thank you for your interest in working with MDJ On-Demand's Divine Freight Brokerage. Please upload the requested documents in effort to have you onboarded with our Brokerage. Upon uploading your documents one of our agents will contact you with further instructions.
Name

First NameLast Name
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Please add a point of contact and phone number in case of an emergency. blank
Please list your trailer # blanks
Please list your tag# blanks
Desired Rate Per Mile?
List all regions you'd like to run?
Please upload a copy of your CDL License?

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Please upload a copy of your Letter of Authority?

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Please up load a copy of your NOA?

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Please upload a current insurance certificate?

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Please upload a copy of your medical card

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Please upload a copy of your W-9

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Should be Empty:

Carrier Onboarding Profile