Carrier/OO Profile

CARRIER/OWNER OPERATOR PROFILE

Please complete the form in its entirety as discussed. This allows GoToLady to better understand your needs, and wants when booking your loads.
Date

Month Day Year
Date
Name

First Name Last Name
Company Name

First Name Last Name
Direct Contact Number
Please enter a valid phone number.
Email
example@example.com
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Is this the state that you reside in?
How often do you want to be home?
Equipment Type/Type of Truck
Equipment Size (26', 48', 53', etc.)
Max Weight (45,000lbs, etc.)
Do you have load board account(s)?
If so, list name of platform(s)
Do you have a factoring account?
If so, list name of factoring company
Min Cost Per Mile (CPM) ($2.2005 Per Mile, etc.)
Preferred Distance Runs (300-600 mi, OTR, etc.)
Region Preferred to Run (N-Head For The Hills; S-Keep Me South; Take Me to the $$$; etc.)
What type of commodities do you prefer to haul?
Tell me a little bit about your company, and yourself
What is your weekly revenue goal?
Do you have any specifications? If so, Please list below
Signature

Clear
Should be Empty:

CARRIER/OWNER OPERATOR PROFILE