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Your First & Last Name
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Your Email Address
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Your Phone Number
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Company Name
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Your MC#
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Your DOT#
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How many trucks will you need dispatched?
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What is the origin city & state for each driver being dispatched?
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How often would the driver(s) like to be back home?
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What truck type(s) will you need dispatched?
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Semi Truck
Box Truck
Cargo Van
Hotshot
Other
What trailer type(s) will you need dispatched?
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Dry Van
Reefer
Flatbed
Tanker
Other
What route(s) would you prefer to drive? (Select all that apply)
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Local (less than 100 mile radius)
Regional (less than 1,000 mile radius)
OTR (more than 1,000 mile radius
What area(s) of the USA do you prefer to drive? (Select all that apply)
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Northeast (NY, NJ, CT, RI, MA, ME, etc.)
Midwest (MI, OH, KY, IN, IL, WI, etc.)
Midwest (MI, OH, KY, IN, IL, WI, etc.)
Midwest (MI, OH, KY, IN, IL, WI, etc.)
West (CA, AZ, OR, NV, ID, etc.)
What city/state would you like to avoid?
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What shippers/receivers would you like to avoid?
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ZIP / Postal Code
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Will you carry loads up to the legal weight limit?
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Yes - I'm willing to do that IF there's no other loads available
No - I'm willing to wait as long as it takes to find a lighter load
NOTE: We will always source the lightest, highest-paying loads FIRST
ELD login details (E.g Motive, Samsara, JJ Keller, etc.)
NOTE: We pay 100% of the cost (only available for select vendors)
Factoring company details (E.g RTS Financial, OTR Solutions, etc.)
NOTE: We provide exclusive discounts (only available for select vendors)
Fuel card details (E.g Wex, RTS Fuel Card, Comdata, etc.)
NOTE: We provide exclusive discounts (only available for select vendors)
Provide list of existing broker/shipper contracts
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What is your definition of success from this partnership?
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Special Notes
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Expedition
Flatbed
Step Deck
Reefer
Hotshot
Sprinter van
Box truck
Power Only
Dry Van
Contact Us
265 Westwood Ave #53Winter Haven, FL 33880, USA
info@wahauldispatch.com
(905) 226-9470
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