Carrier Packet
Thank you for choosing SureShip Logistics. Please fill out the following information to the best of your ability. If the question does not apply to you please answer N/A in the blank space.
Name
First Name
Last Name
Date (date you are filling out form)
-
Month
-
Day
Year
Date
Company Name or DBA
Phone Number
Please enter a valid phone number.
Email
example@example.com
Preferred method of contact
Phone
E-mail
MC#
DOT#
What type of Trailer(s) do you have? (include dimensions and equipment you have)
How many trucks do you have?
Do you have a Factoring Company?
Yes
No
If "NO", how do you intend to get paid?
Factoring Company Name
Factoring Company Phone #
Driver(s) Name(s)
Preferred Geographical Lanes
Southern States
West Coast States
MidWest States
SouthEastern States
NorthEastern States
Zones to AVOID
Zone 0
Zone 1
Zone 2
Zone 3
Zone 4
Zone 5
Zone 6
Zone 7
Zone 8
Zone 9
List any preferred Lane details
Break Even Point
Max Load Capacity
Email Address to receive Invoices from SURESHIP LOGISTICS
Insurance Company Name (Copy of Original Certificate will be requested)
Agent and Contact Information
Starting Location(s)
How long have you had your Authority?
Submit
Should be Empty: