| General
Information |
| |
*
indicates required field |
| *Date
(mm/dd/yy) |
|
| *Company
Name |
|
| *Address |
|
| *City |
|
| *State/Province |
|
| *Zip/Postal
Code |
|
| *Phone |
|
| *Fax |
|
| Off-Hours
Number |
|
| *E-Mail |
|
| *Year
Business Started |
|
| |
|
| Contacts |
| Main
Contact |
|
| *Name |
|
| *Title |
|
| *Phone |
|
| Fax |
|
| Alternate
Contact |
|
| Name |
|
| Title |
|
| Phone |
|
| Fax |
|
| |
|
| Billing
Information |
| Pay
To Address (If Different From Above) |
| Address |
|
| City |
|
| State/Province |
|
| Zip/Postal
Code |
|
| Phone |
|
| *Number
of Employees |
|
| *Business/Tax
ID Number |
|
| |
|
| Operations
|
| |
|
| Principal
Commodities Shipped |
|
| |
|
| Approximately How
Many Truckload Shipments Do You Ship Monthly From All
Locations? |
| |
|
| |
|
| Equipment Type: Indicate
the percentage of your company's business by equipment
type |
| Dry
Van |
0-25%
25-50%
50-75%
75-100%
|
| Container |
0-25%
25-50%
50-75%
75-100%
|
| Reefer |
0-25%
25-50%
50-75%
75-100%
|
| Flat
Bed |
0-25%
25-50%
50-75%
75-100%
|
| Tanker |
0-25%
25-50%
50-75%
75-100%
|
| HAZMAT |
0-25%
25-50%
50-75%
75-100%
|
| |
|
| Truckload |
| Percent
of total movements |
0-25%
25-50%
50-75%
75-100%
|
| Percent
of total movements under contract |
0-25%
25-50%
50-75%
75-100%
|
| Percent
of moves that are unplanned |
0-25%
25-50%
50-75%
75-100%
|
| |
|
| Intermodal |
|
| Percent
of total movements |
0-25%
25-50%
50-75%
75-100%
|
| Percent
of total movements under contract |
0-25%
25-50%
50-75%
75-100%
|
| Percent
of moves that are unplanned |
0-25%
25-50%
50-75%
75-100%
|
| |
|
| Are
You currently using a transportation load exchange?
Yes
No
|
| |
| If
yes, which exchanges are you using?
|
| |
| If
you are currently evaluating transportation exchange
services, what is your timeframe for determining wich
exchange to use?
|
| |
|
How
did you first hear about Bid Freight 3PL?
Ad
Web
Event/Trade Show
Personal Contact
Other
|
| |
|
| |
|
