Business Opportunities | Agents | Pre-Qualification Form

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Business Opportunities: Agents > Pre-Qualification

Please complete this form as thoroughly as possible. This information will be held in the strictest of confidence. For more information on Landstar's treatment of information that you provide through our website, see our Terms of Use and Privacy Policy.

* =Required


*First Name:
Middle Initial:
*Last Name:
*Phone:	e.g.(904) 555-5555
Cell Phone:	e.g.(904) 555-5555
Best time to Call
* Email:

U.S. AddressNon U.S. Address

*Address 1:
Address 2:
*City:
*State:
*Postal Code:

* Please summarize your recent transportation work history:
0 characters 6,000 Character Limit

*Do you have your own operating authority? YesNo
*Would you be leasing your equipment to Landstar? YesNo
*Do you know any Agents/Owner Operators currently leased to Landstar? YesNo

*How many years experience do you have in brokering of over the road truck freight?
*How many years experience do you have in moving intermodal freight?
*How many years experience do you have providing 3PL solutions?
*How many years experience do you have in warehousing?
*How many years experience do you have in arranging for air freight shipments?
*How many years experience do you have in expedited truck shipments?
*How many years experience do you have arranging for ocean shipments?
*What is the annualized anticipated revenue for your agency?

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