Insuring the overall success and future of your business greatly depends on selecting a van line that conducts business with integrity, offers technical support and the ability to provide services to meet the needs of your customers throughout the year. State Wide Relocation is a proven leader in the industry.

As a StateWide Relocation agent, you will have the support of our team to assist you build your business. The technical support team will work with you daily, but more importantly the trusted managememt team will provide marketing, operational and administrative support to ensure your success. As an SateWide Relocation agent you will reap the benefits of::

• Industry leadership
• Outstanding agents, drivers and fleet
• Proprietary technology and systems
• Rigorous commitment to quality and performance measurement

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Please Tell Us About Your Qualifications and Interests
1. Fill in an estimate of your sales for each product line.
Product Line	Your Current Sales
Corporate:
Consumer:
Electronics:
High-Value Products:
Government:
Military:
International:
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2. Are you interested in hauling for State Wide Relocation? Please list the number of tractor-trailers and straight trucks your company has in service.
Tractors:
Trailers:
Straight Trucks:
3. Are you affiliated with a carrier presently? If so, please enter carrier name.
Carrier:
4. Please list the annual interstate linehaul dollars or shipments that you haul for your current carrier.
Linehaul Dollars:
Shipments:
5. List carrier(s) currently represented by you for military traffic.
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6. List bases you wish to represent State Wide Relocation as a military carrier.
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7. If you are under contract, please list when your contractual obligation with your carrier is scheduled for renewal.
Date:
8. What is the reason for changing carriers and/or interest in SWR.
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