Interstate Authority Application

Consulting Request Form
Full Name*

First NameMiddle NameLast Name
Have you incorporated your business with the local Secretary of State (ex. LLC)?
If no, would you like this included in your package, or will you be completing on your own?
Company Name *
Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Mailing Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Number:*

Area CodePhone Number
Fax Number
E-mail:*
Do you have your FEIN?
FEIN:(Federal Employer Identification Number)
How Many Trucks?*
How Many Trailers?*
How Many Drivers?*
What will you be hauling?*
Do you have a DOT number*
DOT Number:
How did you hear about us?*

OnlineTruck paperWord of mouthOther
Any additional details you think Erysian Logistix would need to better assist you, please input here.
Erysian Logistix - 2221 Peachtree St NE Ste D386 Atlanta, Ga 30309

rbattle@erysianlogistix.com
PLEASE COMPLETE THE FOLLOWING STEPS TO ENSURE YOU SCHEDULE APPROPRIATELY: 1. Fill out form above completely. (DO NOT CLICK SUBMIT below until finished all 3 steps) 2. Make payment through Paypal: rbattle@erysianlogistix.com. 3. Schedule your consult at https://www.appointfix.com/Erysian-Logistix. Once all 3 are complete you may click Submit below and will receive a confirmation of Confirmed Consult Meeting.
You may pay through paypal to rbattle@erysianlogistix.com. There will be a $25.00 bank fee for returned payments. All services are non-refundable as we take our team's time seriously & plan our consults according to your request. If you have any questions or need to reschedule, please contact our authorities department at 678-951-9732 via phone or text. You may also email us directly rbattle@erysianlogistix.com.
Thanks for your time and considering Erysian Logistix for all trucking needs.

Erysian Services:

Trucking Start-up/Dispatcher Consultation: 30 Minute Q&A on next Steps (This is for those on the fence and wanting to ask a few questions for clarity.) $99.99

ERYSIAN BY MY SIDE : INCLUDES 1 HOUR INITIAL CONSULTATION (Erysian will conduct all paperwork forms for you as well as 1 30 min recap bi weekly on status) $1,799.00

BRONZE Package: MC AUTHORITY & DOT, UCR Registration$599.00

SILVER Package: MC AUTHORITY and DOT, UCR Registration, BOC-3, FIN$799.00

GOLD Package: Name Registration, SOS Incorporation, MC AUTHORITY and DOT, UCR Registration, BOC-3, FIN$899.00

DIY STEP BY STEP 1 HOUR AUTHORITY CONSULTATION $499.00

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Consulting Request Form

Thanks for your time and considering Erysian Logistix for all trucking needs.