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Semi Trailer Application Form
“At Prime We Keep It Simple”
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Date
*
Name
*
First
Last
Company Name
*
EIN#
*
Address
*
*** PLEASE USE FULL ADDRESS: Street Address, CITY, STATE and ZIP CODE ***
Phone
*
Emergency Phone
*
Email
*
MC#
*
DOT#
*
Number of Trucks in your fleet
*
Number of Trailers in your fleet
*
Website / URL
CDL Required
*
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