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Trucking Agent Application

Name:
Address:
City:
State:
Zip Code:
Phone:
E-Mail:
How did you hear about us?
How long have you been in business?
Who do you represent now?
For How Long?
Why are you thinking of making a change?
Any Produce?

If so, what percentage of your business is produce:
What types of commodities?:
HazMat:

What type of customers?
How many customers?
How fast do your customers pay?
Average of Days
Are any customers currently in Chapter 11?:

Traffic lanes(from and to which areas):
Average length of haul:
Revenue per Month:
Revenue per Shipment:
Does your freight move as Brokerage, as Carrier or Both:


If both, what percentage of your business is brokered:
Do customers pay fuel surcharge?

Do you pay fuel surcharge to carriers?

What type of carrier following do you have?
What is the average margin per load after paying carrier?
Typically, do your carriers require advances?

If so, how much?
What is the fee?:
What would your carriers say about you?

The RFX Companies, Inc.®
Refrigerated Food Express, Inc. • RFX Specialized Division • RFX, Inc.
57 Littlefield Street
Avon, MA 02322
Telephone: 800.225.2350
Fax: 508.588.9655

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