Carrier Setup Application - EK-Alpha Solutions

Truck Dispatch Details

MC Number

DOT Number

Number of Power Units (Trucks)

Number of Active Drivers

Primary Trailer Type(s)

Dry Van Reefer Flatbed Stepdeck Other

Primary Operating Area (States/Region)

Do you require IFTA filing assistance?

Yes No

Medicare Details

Medicare Coverage Type

Part A (Hospital Insurance) Part B (Medical Insurance) Part C (Medicare Advantage) Part D (Prescription Drug Coverage) Supplemental Plans

Number of Applicants

Additional Information

Home & Auto Insurance Details

Insurance Type

Home Insurance Auto Insurance Renters Insurance Condo Insurance Motorcycle Insurance

Number of Properties

Number of Vehicles

States where properties/vehicles are located

Web Development Details

Project Type

New Website Website Redesign Web Application E-commerce Platform Other

Required Features

Responsive Design Content Management System E-commerce Functionality Booking System Payment Integration SEO Optimization

Desired Timeline

Estimated Budget

Social Media Marketing Details

Platforms of Interest

Facebook Instagram Twitter LinkedIn TikTok YouTube

Services Required

Account Setup Content Creation Posting Schedule Engagement Management Ad Campaigns Analytics & Reporting

Primary Marketing Goals

Monthly Marketing Budget

Professional Carrier Setup Services

Professional Service Application

Company & Business Information

Primary Contact Details

Select Services You're Interested In

Truck Dispatch

Medicare

Home & Auto Insurance

Web Development

Social Media Marketing

Truck Dispatch Details

Medicare Details

Home & Auto Insurance Details

Web Development Details

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Company Information

Contact Details

Service Details