Listing Form - North American Trucking Directory

To assure correct listing in the next edition of the Leonard's Guide North American Trucking Directory, this form must be completed, authorized and returned by the publication deadline. Use this form for your main office location only. Use the North American Trucking Directory Additional Terminals form for any additional terminals.

COMPANY INFORMATION
Company:
Main office address:
City:
State:
Zip/Postal code:
Phone:
Fax:
Toll free:
Additional phone:
Email:
Website:
ICC/DOT number:
Standard Carrier Alpha Code (SCAC):
Year established:
Number of employees:


CLASSIFICATION (Check all that apply)
LTL	TL	Interstate
Intrastate	Common Carrier	Contract Carrier


CATEGORY (Check all that apply)
Bulk/Tank	Dedicated	Expedited	Flatbed
Hazmat	Intermodal	Refrigerated	Van
Other (Specify):


EQUIPMENT
Total number of power units owned/leased:
Number of trailers:	Type of trailers:
Number of trailers:	Type of trailers:
Number of trailers:	Type of trailers:
Number of trailers:	Type of trailers:
Number of trailers:	Type of trailers:
Number of trailers:	Type of trailers:


INSURANCE INFORMATION
Cargo insurance $
Public liability $
Property damage $
Insurer:


MOBILE COMMUNICATIONS (Check all that apply)
Radio	Cellular	Satellite
Other (Specify):

SERVICE AREA

All 48 Continental US States (check here for all or below for individual states)

AL	AK	AZ	AR	CA	CO	CT	DE	DC
FL	GA	HI	ID	IL	IN	IA	KS	KY
LA	ME	MD	MA	MI	MN	MS	MO	MT
NE	NV	NH	NJ	NM	NY	NC	ND	OH
OK	OR	PA	RI	SC	SD	TN	TX	UT
VT	VA	WA	WV	WI	WY

All Canada (check here for all or below for individual provinces)

AB	BC	MB	NB	NF	NT	NS	ON	PE
QC	SK	YT

Mexico

AUTHORIZATION
I am authorized to provide this information and it is correct to the best of my knowledge.
Name:
Title:
Date:

SUBMIT YOUR LISTING FORM

Please take a moment to review your information on this form to insure it is complete and accurate, then click the "Submit" button to complete your listing form and submit it to Leonard's Guide.