Carrier Registration System (USA)
Please complete this form and upload your carrier authorities.
Name
*
First Name
Last Name
Company Name
*
Phone Number
*
Format: (000) 000-0000.
Email
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Indicate the type of Equipment you have available
Straight Truck
Power Tailgate
53' Dry Van
Reefer Service
Flatbed
Indicate the provinces that you move freight between (At least once/week)
Rows
Ontario
Quebec
Manitoba
Saskatchewan
Alberta
British Columbia
New Brunswick
Nova Scotia
New York
New Jersey
Pennsylvania
Ohio
West Virginia
VIrginia
North Carolina
South Carolina
Georgia
Florida
Alabama
Tennessee
Kentucky
Indiana
Illinois
Michigan
Mississippi
Wisconsin
Iowa
Minnesota
Oklahoma
Missouri
Arkansas
Louisiana
Texas
Kansas
Nebraska
South Dakota
North Dokata
New Mexico
Colorado
Wyoming
Montana
Idaho
Utah
Arizona
Nevada
Oregon
California
Washington
Already Have CWT Rates? Enter your lanes Below. You can calculate Your own CWT rates with this tool: https://www.shipgroupllc.com/cwt-rate-calculator.php
Rows
EX: City & PR/ST
TO: City & PR/ST
MIN
L5C
500
1000
2000
5000
10000
Lane 1
Lane 2
Lane 3
If you already have set Pallet Rates please indicate below or attach with authorities.
Upload Insurance & Authorities
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Indicate any restrictions regarding your service abilities
Submit Application
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