*1.BUSINESS NAME(Required.)

*2.HOW MANY YEARS IN BUSINESS?(Required.)

*3.PHONE NUMBER(Required.)

*4.EMAIL ADDRESS(Required.)

*5.LEGAL NAME(Required.)

*6.ADDRESS(Required.)

*7.WHERE WILL YOU NEED THE TRUCKS? (CITY, STATE)(Required.)

*8.BUSINESS TYPE(Required.)

*9.HOW MAN YTRUCKS DO YOU NEED? (NUMBERS ONLY)(Required.)

*10.INTENDED USE(Required.)

HOT SHOT/FREIGHT

CONSTRUCTION/EQUIPMENT

HAULING/TOWING

Other (please specify)

11.USE

LOCAL/IN STATE

OUT OF STATE

*12.HOW MANY MILES MONTHLY?(Required.)

*13.DESIRED LEASE TERM LENGTH. MONTHLY/YEARLY?(Required.)

*14.WHEN WOULD YOU NEED TRUCK(S)(Required.)

*15.TRUCK SIZE NEEDED(Required.)

2500

3500

4500

*16.CAB SIZE(Required.)

SINGLE

CREW

*17.2WD OR 4WD(Required.)

2WD

4WD

*18.BED TYPE(Required.)

PICKUP BED

FLATBED

*19.DO YOU NEED A LONG HAUL FUEL TANK?(Required.)

Yes

No

20.DO YOU NEED A TOOL BOX?

Yes

No

21.DO YOU NEED AIR BAGS?

Yes

No

22.DO YOU NEED OVERSIZED OR ALL TERRAIN TIRES?

Yes

No

23.DO YOU NEED A WRAP FOR ADVERTISING?

Yes

No

24.DO YOU NEED ANY SPECIALTY EQUIPMENT NOT LISTED ABOVE?