13756 S. Kildare Ave Crestwood, IL 60445 Phone# 708-385-5793 Fax# 708-844-0257 CARRIER PROFILE Carrier Name: Address: City/State/Zip: Contacts: Phone: Fax: ------------------------------ After Hours Contact: Emergency Contact: Corporate Email: Dispatch Email: ------ Federal ID# MC# USDOT# -------- ------ Equipment/Assets & Quantity Total Power Units Vans 53' ---- 48'---- Reefers 53’ 48'---- Other Haz Mat Authority? Yes/No: Expiration Date: _ yes, please include a copy of your certificate. If Satellite Tracking Capability? Yes/No: --- If yes, what type? _ Operating Lanes: Thank you for taking the time to complete this form.
13756 S. Kildare Ave Crestwood, IL 60445 Phone# 708-385-5793 Fax# 708-844-0257 CARRIER PROFILE Carrier Name: Address: City/State/Zip: Contacts: Phone: Fax: After Hours Contact: ------------------------------ Emergency Contact: Corporate Email: Dispatch Email: Federal ID# ------ MC# ------ USDOT# -------- Equipment/Assets & Quantity Total Power Units Vans 48'---- 53' ---- Reefers 48'---- 53’ Other Haz Mat Authority? Yes/No: Expiration Date: _ If yes, please include a copy of your certificate. Satellite Tracking Capability? Yes/No: --- If yes, what type? _ Operating Lanes: Thank you for taking the time to complete this form.
GSL-Broker-Packet.docx