Freight Agent Form

FLASH MBK LOGISTIC

FLASHMBKLOGISTIC.COM
FREIGHT AGENT
Name: *

First Name Last Name
Company Name: *
(If Applicable)
Company Email Address: *
example@example.com
Company Phone Number: *

Area Code Phone Number
Company Address: *

Street Address

Street Address Line 2

City State

Zip Code
Are You Currently An Active Agent?
In The Last 30 Days, How Many Shipments Have You Moved?
Why Are You Interested In Joining The Flash MBK Logistic Team?
Do You Have An Active Book Of Business?
Let Us Know Your Questions:
Refer A Business:
(Please include contact name, phone & email)
Should be Empty:

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