Other Locations?
Operating Authority:
Intrastate:
Canadian Provinces:
Carrier
Capabilities: Check all that apply
Service Area:
States:
or Check if all 48
Check if you service a
particular region:
Southeast: AL,
GA, MS, NC, SC, TN, FL
Northeast: CT,
DC, DE, ME, MD, MA, NH, NJ, NY, PA, RI, VT, VA, WV
Midwest: IA,
IL, IN, KY, MI, MO, OH, WI
Plains: KS, MN, NE, ND, SD
Southwest: AR,
LA, OK, TX
Mountain: AZ,
CO, ID, MT, NV, NM, UT, WY
Pacific: OR, WA, CA
Equipment Type:
Tractors, Number
Conventional
Cab Over
Day Cab
Straight Trucks
Trailers
Air Ride: Trucks
(no.) Trailers (no.)
Systems:
Tracking: (Check all that
apply)
Cellular, Satellite,
Beeper,
Other
Electronic
Communications:
1. Do you currently
perform EDI transactions? yes,
no
If yes, please
continue:
204-Motor Carrier
Shipment Information (Electronic Load Tendering)
210-Motor Carrier
Freight Details and Invoice (Billing)
214-Motor Carrier
Shipment Status Inquiry (Ship Status)
990-Response to
Load tender (Accept or Deny)
2. Do you currently
use a PC to perform internet activities with a Customer?
yes no
3. Do you have a PC that could be used a few times per day to
perform internet activities? yes
no
Email address to
use?
4. General Questions:
Can you provide trailer pools?
What percent of your
drivers are owner-operators?
Are you Privately or
Publicly Held?
Service: