Foley Products - Hire Hauler Application


Company Information Form 04-26-2017
 
  
  
        
    AM -   PM
 
5. Are you a Freight / Property Broker ?   Yes      No
  (Brokers arrange for the truck transportation of cargo belonging to others, for compensation, utilizing for hire carriers to provide the
  actual truck transporation)
  • MC Number :   
  • U.S. DOT Number :  
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    6. Are you a Common / Contract (Independent) Carrier ?   Yes      No
      (Provide for-hire truck transportation directly to the shipper (ie, directly to us, no broker involved), you own your own fleet.)
  • MC Number :   
  • U.S. DOT Number :  
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    NOTE: You must notify us immediately if your status changes from Common/Contract carrier to that of a Freight Broker.
     
    Contact Information
     
        
      
      
      
     
    Insurance Contact : If same as above, check here  
     
        
      
      
      
     
    Dispatch Contact : If same as above, check here  
     
        
      
      
      
      
      
     
    Company is able to haul for which of the following plants:     Winder, GA      Newnan, GA      Clanton, AL