Consultation Profile Questions - Willis Transportation Consultancy

Consultation Profile Questionnaire

Please complete as accurately and as fully as you can.

The information that you submit on this page is completely confidential and secure. No data will be shared with any other company and will be kept confidential to Willis Transportation Consultancy only. This website is SSL secured to ensure the safety, security and transmission of data. No credit card payments will be processed until you have spoken with a Willis Transportation Consultancy team member who will confirm the total amount to be charged.

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

If yes, how long?

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

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?

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

Please feel free to contact Willis Transportation with any and all questions and concerns by email at info@willistransportation.info or willisone7@live.com.