Guardian

PO Box 150
Dover, PA 17315
Phone: 717-292-0106   Fax: 717-292-7602

Subcontractor Application Form

Full Name:  
 
Phone Number:  
 
Email address:  
 
Located in:  
 
Years Of Experience:  
 
What kinds of loads do you have experience with?:  
 
List your equipment (ie, fire extinguisher, hard hat, etc):  
 
What are you rates for services?  
 
Drivers License State:       License Number:  
 
Are you 21 Years of Age or older?
Yes No
Select what states you are certified in (please check all that apply)
Florida Kansas Super Load Cert
Nevada Light Permit Georgia Light Permit
Indiana (Ins) PA (Ins, listing PA add'l insd)
Virginia New York
Louisiana Permit Washington
Utah Colorado
Oklahoma New Mexico
Other    
Please note where you will NOT escort:
 
What services are you capable of providing?
Height Pole Rear Car
Route Surveys (physical only) Superloads
 
Where did you hear about Guardian Angels?
Internet Business cards
Other escort company Other trucking company

Email  Send us an email at gaode@aol.com for more information.