Kallos Transport Lease-On Application Form
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Business Name
Business Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Company Details
MC Number
DOT Number
Number of Trucks
OTR
Regional
Local
Business Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Equipment Type
Please Select
26 ft Box Truck
24 ft Box Truck
53' Dry Van
48' Dry Van
Hotshot
Equipment Dimensions
Door Clearance (height)
Door Clearance (width)
Interior Height
Interior Width
Max Payload (lbs)
Empty Scale Weight (lbs)
SCAC Code
Operation Cost Per Mile
Back
Next
Certificate Of Insurance
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Notice of Assignment
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W9 Form
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Annual Inspection Report
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MC Letter (Authority)
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Driver's License (front)
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Driver's License (back)
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DOT Medical Card
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Pictures the Truck that will be operated (please ensure company decals are clearly displayed )
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Pictures of Box interior
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Submit
Contact Us
Email: info@kallostransport.com Website: www.kallostransport.com Phone: 704-564-5268
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