NonstopDelivery - Carrier Partner Program

Agent Profile

Business

Owner / CEO
Name:
Phone:	--
Fax:	--
Email:

Senior Operations Manager
Name:
Phone:	--
Fax:	--
Email:

Dispatch Manager
Name:
Phone:	--
Fax:	--
Email:

Accounting Manager
Name:
Phone:	--
Fax:	--
Email:

Emergency Contact
Name:
Phone:	--
Fax:	--
Email:

Dispatch Information
Please enter in the email addresses for at least two people who will receive daily order alerts and jobs from the NSD operations group
Email:
Email:
Email:

Company Profile
Office Location:
City:
State:	Zipcode:
Telephone:	-- Fax: --
Office Manager:
Total # of office staff:	(non drivers)
Total # of drivers:
Hours of Operations:

Warehouse Location:
City:
State:	Zipcode:
Telephone:	-- Fax: --
Dock Manager:
Total # of dock workers:	(non drivers)
Total # of drivers:
Hours of Operations:
Total space:	(square footage)
Is your warehouse climate controlled? Yes No
Loading dock:	Yes No
Forklift on site:	Yes No

Mode of Transportation
	1. Personal vehicles (car, pick up trucks, mini van):	Yes No
	Total # of personal vehicles:
	Average age of equipment (5 years, 3 years, etc.):

	2. Cargo van (9ft or greater):	Yes No
	Total # of Cargo vans:
	Average age of equipment (5 years, 3 years, etc.):

	3. Box / straight trucks without lift gate:	Yes No
	Length of box truck: 14 16 18 20 24 26 Other:
	Total # of box trucks:
	Average age of equipment (5 years, 3 years, etc.):

	4. Box / straight trucks with lift gate:	Yes No
	Length of box truck: 14 16 18 20 24 26 Other:
	Total # of box trucks:
	Average age of equipment (5 years, 3 years, etc.):

	5. Tractors - over the road sleepers (power units):	Yes No
	Total # of Tractors:
	Average age of equipment (5 years, 3 years, etc.):

	6. Tractors - day cabs (power units):	Yes No
	Total # of Tractors:
	Average age of equipment (5 years, 3 years, etc.):

	7. Dry van trailers:	Yes No
	Length of dry vans: 23 28 40 48 53 Other:
	Total # of dry van trailers:
	Average age of equipment (5 years, 3 years, etc.):

	8. Flatbed trailers:	Yes No
	Length of flatbeds: 23 28 40 48 53 Other:
	Total # of flatbed trailers:
	Average age of equipment (5 years, 3 years, etc.):

	9. Reefer trailers:	Yes No
	Length of reefer trailers: 23 28 40 48 53 Other:
	Total # of reefer trailers:
	Average age of equipment (5 years, 3 years, etc.):

	10. Other specialized equipment (stair climbers, etc.):	Yes No
	List equipment:
	Total # of reefer trailers:
	Average age of equipment (5 years, 3 years, etc.):

Industries of Interest
	1. Appliances (washers, refrigerators)	Yes No
	Installation service (hook up / removal)	Yes No

	2. Electronics (Plasma TV’s, big screens)	Yes No
	Installation service (hook up / removal)	Yes No

	3. Pharmaceuticals / Medical	Yes No

	4. Furniture (couch, bedroom sets)	Yes No
	Assembly Services	Yes No

	5. Envelops / small packages	Yes No

	6. Perishable goods (food, flowers)	Yes No

Current Service Options
	1. Same day hotshot services	Yes No
	2. Next day delivery services	Yes No
	3. Weekend delivery service	Yes No
	4. After hour delivery service	Yes No
	5. Installation, Assembly & Complex Services	Yes No
	6. COD or payment services (upon delivery)	Yes No
	7. Holiday delivery service	Yes No

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