MLI History
Photo Gallery
Contact Information
First Name:
Last Name:
Street 1:
Street 2:
City:
State & Zip Code:
Phone Number:
Email:
Application Questionnaire
How did you hear about MLI ILG?
- Select -
Trade Paper Ad
Newspaper
Internet Ad
Search Engine
Friend
Other
None
If Other:
Are you experienced working as a Transportation Broker?
- Select -
Yes
No
If yes, for how long?
Are you currently under contract as a Broker Agent with another company?
- Select -
Yes
No
If yes, please provide the company name:
Do you have your own authority?
- Select -
Yes
No
Do you have an established customer base?
- Select -
Yes
No
If yes, how many?
Do you have a reliable Carrier following?
- Select -
Yes
No
How many loads (on average) do you currently book per week?
Do you have a target market?
- Select -
Yes
No
Please provide examples of the type of product you currently handle for your customers:
What strategy will you use to market your services and ours?
Cover Letter: Please use this area to provide additional qualifications or comments:
When can you start (mmddyyyy)?
