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Carrier Information Form

Mail:
M&S Global Transport, LLC  P.O. Box 128  Candia, NH 03034

Telephone:  (603) 647-4530

Fax:  (603) 483-5488

Email: davep@mslogistix.com

 

Company Name :    DBA:   Years in Business: 

 

Mailing Address:

Street Address 1:    Address 2: 

City:    State/Province: 

Zip/Postal Code: 

Email address:    Web Address: 

 

Physical Address:

Street Address 1:     Address 2: 

City:    State/Province: 

Zip/Postal Code: 

Email address:    Web Address: 

 

Dispatch Contact:

First Name:    Last Name: 

Telephone Area Code:    Phone: 

Fax Area Code:    Fax: 

After Hours Telephone Number: 

Telephone Area Code:    Phone: 

 

MC Number:

How many trucks do you run?    Van:    Flat:    Other: 

 

Additional Comments:

 

 

 

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