Dispatch Setup
By Talk to Me Consulting, LLC
Carrier Profile
Carrier Name
*
MC #
*
example # 000000
USDOT #
*
example # 00000000
Carrier Contact Name
*
Carrier Phone #
*
Carrier Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How did you hear about us?
*
Please Select
Call
Email
Text
Other (Please specify...)
Other
*
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Number of Trucks
*
Please Select
1
2
3
4
5
6
7
8
9
10
Trailers Numbers
*
Select All Equipment
*
Dry Van
Reefer
Flatbed
Hot-Shot
Stepdeck
Box Truck
Other
List Max Net Cargo Weight for Each Truck
*
Example: #0217 = 45,000 lbs.
Please describe any additional equipment you might have.
*
Examples: Vents, Tarps, Chains, Winch, Liftgate, Ramps, etc.
Minimum Rate Per Mile
*
Example: $2.75 per mile, etc.
What areas will you drive?
*
Midwest
Northwest
Southeast
Midwest
West
Northeast
Pacific Northwest
Mountain
New York City (check mark if you will drive to this big city)
Chicago, IL (check mark if you will drive to this big city)
Driver's Name and Driver Cell #, if you will not be driving.
*
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Insurance Company Info: Please Note: Our carriers must maintain a minimum of $1 Million in liability and $100,000 in Cargo Insurance. Please list DISPATCH as Certificate Holder - Talk of Me Consulting, LLC | 5900 Summerfield Dr. – Arlington, TX 76018
*
Agent's Name, Phone Number, and Email (So we are able to attain your COI for your clients/brokers.)
Factoring Company Info: Please provide the following information: This will ensure that we only use brokers approved by your factoring company. If you are not using a factoring company, please indicate "N/A" in the following spaces.
*
Contact's Name, Phone Number, and Email
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Will you be willing to recommend us?
*
Yes
Maybe
No
Please refer Owner Operators who you believe might benefit from our service. If the referral signs up and one load has been completed, you will receive one (1) load FREE without the Dispatch 7% fee.
Rows
Full Name
Contact Number
1
2
3
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Documents Required
Please upload your W9, Certificate of Insurance, and Authority (MC Permit).
*
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