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The e-Courier network has helped many carriers increase their business and improve their service. If you’d like to find out more about joining the e-Courier network of select delivery companies, please fill out this form.

To view a demonstration of the powerful enterprise e-Courier Courier Management System (CMS), click here.   (Note that you will need a login name and password from your e-Courier representative to access the demo).

Required fields are in bold

Name:  
Title:  
Company:  
Address 1:  
Address 2:  
City:  
State:  
Zip:  
Phone:  
Fax:  
Email:  

List your company office locations:
City State:

Do you currently have a web site? Yes No
Web Site Address:  
Which enterprise level software do you use?:
DataTrac  
ADAQ  
MIS  
LADS  
None  
Other  

How do you connect to the Internet?:
Modem  
DSL  
Cable Modem  
T1/T3 Connection  
Other  

Number of Tractor/Trailers:
Company Owned and Operated:     
Contractor Owned and Operated:     

Number of 20' or Greater Box Trucks:
Company Owned and Operated:     
Contractor Owned and Operated:     

Number of 12' - 18' Box Trucks:
Company Owned and Operated:     
Contractor Owned and Operated:     

Number of Cargo Vans:
Company Owned and Operated:     
Contractor Owned and Operated:     

Number of Covered Pickup Trucks:
Company Owned and Operated:     
Contractor Owned and Operated:     

Number of Cars:
Company Owned and Operated:     
Contractor Owned and Operated:     

Are your vehicles logoed? Yes No

Are your drivers company employees? Yes No

Are drivers required to wear a uniform? Yes No
Full Uniform(Pants, shirt, cap)  
Shirt and Cap Only  
Shirt Only  
Cap Only  

Do Drivers Carry Company Issued Identification? Yes No

How much insurance do you carry?
Liability Amount:  
Cargo Coverage Amount:  
Non-owned:  
Workers Compensation Amount:  


What services do you provide? (check all that apply)
Ground Same Day Services
      1 - 2 Hour
        What is the radius, in miles, for this service?   
      3 - 4 Hour
        What is the radius, in miles, for this service?   
      Regular (call in by Noon deliver by 5PM)
        What is the radius, in miles, for this service?   
Ground Overnight Services
      Distribution
        What is the radius, in miles, for this service?   
        Is this service time definitive? Yes No
        What is the latest available pickup time?
        What is the guaranteed delivery time?
Air Courier/Air Freight Services
      Small Package Next Flight Out
        What is the weight limitation for this service?
        What is the size limitation for this service?
      Same Day Heavy Weight Service
        What is the weight limitation for this service?
        What is the size limitation for this service?
      Next Day Air Service
        What is the weight limitation for this service?
        What is the size limitation for this service?
      Second Day Air Service
        What is the weight limitation for this service?
        What is the size limitation for this service?
      Deferred (3 - 5 Day) Air Service
        What is the weight limitation for this service?
        What is the size limitation for this service?

Please describe other services offered
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