Agent Application

Contact Information
Name:
Company:
Address:
City:
State:
Zip:
Phone:
Fax:
800 #
E-mail Address:

Background
What is your transportation background?
What is your brokerage experience?
What is your educational background?

Sales Focus
What is your sales focus?
What is your target market?

Please list the top 10 customers you plan to contact:
    Customer Name   City   State
1.      
2.      
3.      
4.      
5.      
6.      
7.      
8.      
9.      
10.      

Operation Focus
What transportatioin mode will be your focus?
How do you plan to procure capacity to handle the frieght you generate?
What areas to you plan to target (geographic locations)?

Market Focus
How do you plan to present our services?
What marketing strategies do you plan to utilize?

Other
Amount of money that you plan to invest in this business:
Do you have your own fax line?
Do you have your own fax machine?
Do you have internet access? What Type?
How many phone lines do you have?
Do you want to purchase a website?
How would you like correspondance sent?