CARRIER | Parliament DAP

cARRIER

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Thank you so much for choosing PARLIAMENT DAP! We're excited to have you on board. Could you please take a moment to fill out the following information as best you can. If a question doesn't apply to you, just jot down N/A. We look forward to working with you!

First Name

Last Name

Select a date

Company Name or DBA

Phone

Email

Preffered Method of Contact: Required

Phone

Email

MC#

DOT#

What type of Trailer(s) do you have ? (Please include dimensions)

How many trucks do you have?

Do you have a Factoring Company? Required

Yes

No

If NO*, how do you intend to get paid?

Factoring Company name

factoring company phone #

Driver name

preferred geographical lanes Required

southern states

west coast states

south eastern states

north eastern states

list any preferred lane details

break even point

max load capacity

Email address to recive invoices from parliament dap

insurance company name (copy of original certificate will be requested)

original copy of insurance

Upload File

Upload supported file (Max 15MB)

agent name

agent contact information

Starting location

how long have you had your authority? (Years)

I agree to the terms & conditions

Thanks for submitting!

Mission statement

We are excited about the opportunity to collaborate with you. Our goal is to assist you in maximizing your earnings based on the time and distance you put in. We promise to make every effort to ensure that you have return loads and will take into consideration your preferred working days. Our aim is to be considerate and accommodating in every way possible.

Call

+1 608-301-5038

email

hours of operation

Admin@parliamentDAP.com

Monday -Sunday 9am-9pm

Get on the List

Mission statement ​

Call

email

hours of operation

Mission statement