Carrier Information Company Name __ Physical Address: Remit to address (not factoring company) Website __ Insurance Agent __ Agent's Phone # Fax # email __ Type and No. Of Trucks: Flatbed Van Refrigerated __ Team Service: Yes No Hazmat: Yes No Air-Ride: Yes No __ will your company request advances (comcheks)? __ are there any restrictions on advances / settlements if "Yes" what are limitations
Carrier Information Company Name __ Physical Address: Remit to address (not factoring company) Website __ Insurance Agent __ Agent's Phone # Fax # email __ Type and No. Of Trucks: Flatbed Van Refrigerated __ Team Service: Yes No Hazmat: Yes No Air-Ride: Yes No __ will your company request advances (comcheks)? __ are there any restrictions on advances / settlements if "Yes" what are limitations
Carrier Information Company Name __ Physical Address: Remit to address (not factoring company) Website __ Insurance Agent __ Agent's Phone # Fax # email __ Type and No. Of Trucks: Flatbed Van Refrigerated __ Team Service: Yes No Hazmat: Yes No Air-Ride: Yes No __ will your company request advances (comcheks)? __ are there any restrictions on advances / settlements if "Yes" what are limitations