In order to better assist you, please provide the following information
1. Please select one:
Customer Intermodal Vendor Over The Road Carrier Intermodal Vendor and Over The Road Carrier
SCAC:
MC#:
2. Please enter some information about yourself:
Last Name
Title
Email
Phone
Phone Ext.
Fax
Time Zone
Alaska Standard Time Aleutian Time Central Standard Time Eastern Standard Time Hawaii Time Japan Standard Time Mountain Standard Time Pacific Standard Time Samoa Time
3. Please enter some information about your employer (please use corporate information):
Company Name
Address
City
State/Province
Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ------- Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Nunavut Ontario Price Edward Island Quebec Saskatchewan Yukon Territory ------- Aguascalientes Baja California Baja California Sur Campeche Chiapas Chihuahua Coahuila Colima Distrito Federal Durango Estado Mexico Guanajuato Guerrero Hidalgo Jalisco Michoacan Morelos Nayarit Nuevo Leon Oaxaca Puebla Queretaro Quintana Roo San Luis Potosi Sinaloa Sonora Tabasco Tamaulipas Tlaxcala Veracruz-Llave Yucatan Zacatecas
Postal Code
Country
United States Canada Mexico
If Division/Subsidiary, Name of Parent
4. Do you already do business with MLS Inc?
Yes
No
5. Locations:
Which locations do you normally ship your goods?
Atlanta Baltimore Boston Chicago Cleveland Dallas Denver Houston Indianapolis Kansas City Laredo Los Angeles Memphis Mexico Milwaukee Minneapolis New Jersey Ontario Pittsburgh Portland Rochester Salt Lake City San Diego San Francisco Seattle Saint Louis Toledo
What is the main product?
