IDLOGISTICS, LLC.
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Carrier Direct Form (Please Complete)
*
Indicates required field
Carrier Name
*
Client Name
*
i.e. Lowes, Home Depot, Sears, Etc.
Contact Person
*
First
Last
Phone Number
*
Account Address
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
Start Date
*
Type of Need
*
Full Time Support
Seasonal Flex
Start-Up Support
Short Term Support
Other
*
Equipment Needs
*
Flat-bed
Sprinter Van
26' Box Truck - 1 Man
26' Box Truck - 2 Man Team
Other
*
Insurance Requirements
*
Yes
No
If Yes, please enter requirements in the appropriate fields.
General Liability
*
Auto
*
Umbrella
*
Workers Comp
*
Cargo
*
Additional Comments
*
Submit
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