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The easy way to get set up in 20 Minutes Email: your MC#, W9, INSURANCE
MC# / DOT
SSN / W9
COMPANY NAME / DBA
*
Phone Number
*
First Name
*
Last Name
*
Address
*
Adddress 2
*
City
*
State
*
Zip Code
*
Email
*
Insurance Company
*
Insurance Contact Name
*
Insurance Phone Number
*
How Many Drivers
*
1
2
3
4
5
6
How Many Trucks
*
1
2
3
4
5
6
Type Equiment
*
DRY VAN
REEFER
FLAT BED
What States you prefer to Drive
*
Please Email MC# or DOT and Compy Insurance to info@miatransportationinc.com
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