top of page

Diva's Can Enterprise L.L.C

HOME
CARRIER
ABOUT US

CARRIER PACKET

THANK YOU FOR CHOOSING DIVA'S CAN ENTERPRISE L.L.C. PLEASE FILL OUR THE FOLLOWING INFORMATION TO THE BEST OF YOUR ABILITY. IF THE QUESTION DOES NOT APPLY TO YOU PLEASE ANSWER "N/A" IN THE BLANK SPACE.

FULL NAME*

DATE*

COMPANY NAME OR DBA*

PHONE #

EMAIL ADDRESS*

PREFERRED METHOD OF CONTACT*

YES

NO

MC#*

DOT #*

WHAT TYPE OF TRAILER(S) DO YOU HAVE? (include the dimensions & equipment you have)*

HOW MANY TRUCKS DO YOU HAVE?*

DO YOU HAVE A FACTORING COMPANY?*

YES

NO

IF "NO", HOW DO YOU INTEND TO GET PAID?

FACTORING COMPANY NAME*

FACTORING COMPANY PHONE #*

DRIVER(S) NAME(S)*

PREFERRED GEOGRAPHICAL LANES*

SOUTHERN STATES

WEST COAST STATES

MIDWEST STATES

SOUTHEASTERN STATES

NORTHEASTERN STATES

ZONES TO AVOID*

ZONE 0

ZONE 1

ZONE 2

ZONE 3

ZONE 4

ZONE 5

ZONE 6

ZONE 7

ZONE 8

ZONE 9

LIST ANY PREFERRED LANE DETAILS*

BREAK EVEN POINT*

MAX LOAD CAPACITY

EMAIL ADDRESS TO RECEIVE INVOICED FROM DIVA'S CAN ENTERPRISE L.L.C.

INSURANCE COMPANY NAME (Copy of Original Certificate will be requested)*

AGENT AND CONTACT INFORMATION*

STARTING LOCATION(S)*

HOW LONG HAVE YOU HAD YOUR AUTHORITY?*

DIVA'S CAN ENTERPRISE L.L.C

(702) 809 7132

ERICKA24M.DIVASCANENT@GMAIL.COM

bottom of page