Please complete this form to get set up as a carrier with ET Transportation Services Inc. Items marked with a * are required If you prefer, you can print and complete a pdf version of this form: New Carrier PDF * Once complete, you can fax to (207) 993-2839 or email to dispatch@ettransport.com Having issues? email us dispatch@ettransport.com or call us (800) 940-1596Please enable JavaScript in your browser to complete this form.Company Name / DBA *Company Type *Sole ProprietorPartnershipCorporationAuthority Type *CommonContractBrokerMC # *DOT # *SS / Tax ID # *Do you need a 1099? *YesNoDo you use a factoring company? *YesNoCompany Phone # *Company Fax #Company Email *Company WebsitePhysical Address *Address Line 1City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePayment / Mailing AddressAddress Line 1City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeContactsDispatcher NameDispatcher Cell #Dispatcher EmailAccounting NameAccounting Phone #Accounting EmailAfter-hours NameAfter-hours Cell #After-hours EmailCapabilitiesEquipmentDry VanReeferFlatbedFlatbed - Air-RideLowboyDrop DeckStep DeckStep Deck - ExpandableGooseneckOtherSpecialty ServicesAuthority in CanadaAuthority in MexicoChainsDeckingHazmatLoad LocksLTLStrapsTarpsTeam DriversE-TrackAdditional InfoPreferred LanesWill not go toCarrier DocumentsUpload individual documents or an entire packet using the options below The following documents are required to get you set up, and booked on loads: 1. MC Authority 2. W-9 3. Certificate of Insurance 4. Notice of Assignment (if any)Carrier PacketUpload your company's packet here. Otherwise, upload individual documents below.ORMC AuthorityCertificate of InsuranceCertificate Holder: ET Transportation Services Inc, PO Box 51, Palermo, ME 04354W-9If you need a blank W-9 click hereNotice of AssignmentIf you use a factoring company, please attach your Notice of Assignment.Broker / Carrier AgreementClick here to download our broker / carrier agreement, sign and upload below.Signed Broker / Carrier Agreement *EmailSubmit
