Account Details

Company name

Company name LLC

To verify your account, please fill in

Status:
unverified
72.2 %

Cancellation rating between 51%-75%

Company Details

First name

Chris

Last name

Jons

Owner First name

Chris

Owner Last name

Jones

DOT Number Lorem ipsum

1877392

MC Number

MC-0694814

Company name

Company name LLC

Company phone number

+1 202 202 20 20

Company Website

companywebsite.com

Company Email

yourname@gmail.com

Street address

427 Arch Dr. Palmetto, FL 34221

Zip code

256012415

Atp/Office number

256012415

State

New York

City

New York

Country

USA

Insurance Details

Fill in Insurance Details to verify your account.

Upload
Preview
File name
Preview
File name

Cargo

limit min 100 000$

$200,000

exp date

15/12/2020

Automobile Liability

limit min 100 000$

$200,000

exp date

15/12/2020

General Liability

limit

$200,000

exp date

15/12/2020

General Liability Agregate

limit

$200,000

exp date

15/12/2020

Trailer Interchange/Non-owned Trailer

limit

$200,000

exp date

15/12/2020

Billing Details

Billing name

Chris

Billing surname:

Jones

Billing contact phone:

+1 202 202 20 20

Billing contact email:

test@gmail.com

Factoring company

Company name

Company name LLC

Address

427 Arch Dr. Palmetto, FL 34221

Logistics Details

Logistics contact name

Chris

Logistics contact surname:

Jones

Logistics contact email:

username@gmail.com

Logistics contact phone:

+1 202 202 20 20

After hours phone number:

+1 202 202 20 20

Haul References

1

Company name

Company name LLC

Contact person name

Chris

Email

test@gmail.com

Phone number

+1 202 202 20 20

2

Company name

Company name LLC

Contact person name

Chris

Email

test@gmail.com

Phone number

+1 202 202 20 20

3

Company name

Company name LLC

Contact person name

Chris

Email

test@gmail.com

Phone number

+1 202 202 20 20

Carrier Documents

Upload the documents to verify your account.

W9:
Preview
File name
MC Authority Document:
Preview
File name
Factoring Letter of Assigment:
Preview
File name