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If you need any assistance please call 1-866-475-2839

Legal Name of Company:

Address:

City:
State/Province:
Zip Code:
Phone:

Fax:

Email:

Contact Name:


Base Jurisdiction:
(for IFTA & IRP)
   
Number of Trucks:
Number of Trailers:
   
Jurisdictions to operate in:      (select from below) OR    Select All:
Canadian

AB
BC
MB
NB
NL
NS
ON
PE
QC
SK
           

AL
AR
AZ
CA
CO
CT
DE
FL
GA
IA
   

ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
    US

MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
   

NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
   

TX
UT
VA
VT
WA
WI
WV
WY

FMCSA(ICC) US Federal Operating Authority:

     Type of Authority: (definitions)
   
Common          Contract
Freight Forwarder   Broker of Property

US DOT Number Application 

US Federal HAZ MAT Application 

Canadian Registrations:

     Jurisdiction::
    
ON & (CVOR)       QC       BC      

IRP Plating: (definitions)
Yes NO Number of Vehicles:

Heavy Vehicle Use Tax (HVUT):
FEIN Registration     
HVUT Filing            Number of Vehicles:     
(GVW > 55,000 lbs. & more than 5,000 miles) - Cost based on vehicle weight

US Customs Decals:
Yes No Number of Vehicles:

IFTA Registration & Decals: (definitions)
Yes No Number of Vehicles:

Highway Use Tax Registrations:
KYU #
New Mexico
Oregon
New York HUTS       Number of Vehicles:    


The estimate will be based on vehicle weight of GVW 80,000 lbs.
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