Consultation Profile Questions - Willis Transportation Consultancy

First Name

Last Name

Job Title

Company Name*

Address

Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Country

Website Address

Email*

What is a good business contact number?*

Cell Phone

Fax

Have you had experience as a carrier, broker or freight forwarder?*

Yes

No

If yes, how long?

Do you have a BMC-84 or BMC-85?*

BMC-84

BMC-85

I do not have either

What part of industry will you service?

Auto Transporter

Freight Broker

Carrier

Freight Forwarder

What is your method of funding to pay carriers?

Solvent at own expense

Factoring Invoices

What area do you require training?

Do you have additional personnel that require training?

Yes

No

How many personnel in your company?

On a scale of 1-10 (with 1 = None and 10 = Extremely Experienced) what would you rate your level of expertise in reaching shippers?

0

10

Is your business home based or commercially zoned?

Home Based

Commerically Zoned

Do you know the services required to be in compliance of FMCSA, and prepared to meet those requirements? Today's broker minimum requirements are?

Do you know the services required to be in compliance of FMCSA, and prepared to meet those requirements? Carrier requirement for over the road requirements is?

Do you have Sole Proprietorship, Corporation, Partnership or LLC

Sole Proprietorship

Corporation

Partnership

LLC

Do you have an EIN or TIN if so please provide or send a copy of your W-9?

I have a TIN

I have an EIN

I use my SSN

Do you have a Duns & Bradstreet number if so please provide?

FOR ALL MOTOR CARRIERS AND FREIGHT FORWARDERS PLEASE PROVIDE EXPECTED NUMBER OF ASSETS (trucks, trailers with trailer types such as VAN, REEFER, FLATBED, STEP DECK, TANKER, OTHER Etc.!

PLEASE PROVIDE A Certificate of Organization for a Corporations and or LLC!

PLEASE SUBMIT Tax Paperwork

Select Product

Quantity

Total

Consultation Profile Questionnaire