Business Formation and Consultation Bundle Bundle includes:- Business Formation and MC Bundle ($1050 Value)- One Hour Business plan consultation ($75 Value)- Sign up with 10 brokers that’ll run your truck day 1 of authority ($400 Value)- Cost Per mile calculation ($10) Value)- Change of Address Forms ($24.99 Value)- BOL’s ($19.99 Value)This bundle is worth $1579.99 if you were to buy these items individually, so at $1499 you instantly save 10% Please review the information below for typographical errors Owner's Name * First Name Last Name Owner's Title * Owner's Phone Number * Will there be any partners in this business? * Yes No Co-Owner's Name First Name Last Name Co-Owner's Title Co-Owner's Phone Number Are you a US citizen? If not, please explain below * Business Physical Address (PO Box not allowed) * Address 1 Address 2 City State/Province Zip/Postal Code Country Business Mailing Address, if different from physical address Address 1 Address 2 City State/Province Zip/Postal Code Country Business Email * Business Email Confirmation * Select Entity Type: * LLC S Corp C Corp Nonprofit Enter your desired business name (Note: Please list 3 incase one is unavailable) * Describe the primary activities of your business (ex: trucking, finance, restaurant...) * Who will act as the registered agent? Provide name, address, & contact information * Will you require the Business Owner(s) Social Security Number (SSN) to apply for the Employer Identification Number (EIN) for your business. * Owners Name and Address if different from business address Co-Owners Name and Address if different from business address Number of CDL drivers * Number of NonCDL Drivers * Number of CMVs and Type (be specific: hotshot, box truck, semi only, semi and trailer) * sample: 1-hotshot, 1-box truck, 1-semi How are you obtaining equipment (owning, leasing, renting, financing, other)? * Will you remain in your home state? * Will you cross state lines? * Will you operate in Canada and/or Mexico? * Have you ever had a USDOT # before? * If you have USDOT, please list PIN Will you transport your own property? * Will you receive payment for transporting property for others? * Type of freight you plan to transport (General Freight, Refrigerated Products, Motor Vehicles, Household Goods, Building Material, Water Well, Dry Bulk, US Mail, Chemicals, Livestock, etc) * Are you hauling hazardous material? * Do you currently have, or have had, within the last 3 years of the date of filing this application, relationships involving common stock, common ownership, common management, common control or familial relationships, or any other person or applicant for registration? If so, list the USDOT #. * I hereby certify I am the owner of the company stated above and authorize Be. Logistics, LLC to represent me in carrying out the services I have acquired. I acknowledge that my state might mandate a state-specific power of attorney for Be. Logistics, LLC to operate at the state level. I commit to providing any supplementary information promptly (within 48 hours of request) and acknowledge that Be. Logistics, LLC holds no responsibility for inaccuracies or late fees due to delayed information. All communication will be conducted via email (info@belogistics.com). I acknowledge the absence of a refund policy. * Signature Date * MM DD YYYY Thank you! Please review the information above for typographical errors. The information you enter CANNOT be changed once you hit submit
