Personal Information

First Name *

Middle Name

Last Name *

Company Name *

Contact Information

Email Address *
Phone Number *
Preferred time of day of contactEitherMorningAfternoon

Preferred Domicile * AtlantaBostonCalifornia Bay AreaCharlotteChicagoDallas TXDenver COHouston TXIndianapolisMiamiNew York/New JerseyOsh Kosh WIPittsburghPortland ORSouthern California

What state are you based in? * AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Commerical Driver License Class * Class AClass BClass C

Do you own or lease at least one sleeper truck? * YesNo

Type of Equipment * (Select all that apply) SleeperDay CabStraight Truck (Box Truck)Dry-Van Trailer

Driver Type * (Select all that apply) TeamsSolo

Type of Service * (Select all that apply) Local (In-state)Regional (Short-haul)Over the Road (Long-haul)

Do you have operating authority/MC number? * YesNo

How did you hear of us? *
Daylight trailer decalsBillboard adsOnline banner adsOnline Search resultsI have done Linehaul work for DaylightI have done local work for DaylightFacebookYoutubeJob sitesDaylight employee referralDaylight owner-operator referralOther referralOther way