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*","li_req":"y","li_nm":"remit-address-zip"},"20":{"lid":"1549397421304","ls":"210","loff":"","li_type":"st","li_btntitle":"Next","li_btntitle2":"Back"},"21":{"lid":"1549397404060","ls":"220","loff":"","li_type":"tx","li_text":"<div style=\"font-size:22px;font-family:'OpinionPro';\" data-customstyle=\"yes\"><strong>Insurance and Tax Information</strong></div>"},"22":{"lid":"1549397540087","ls":"230","loff":"","li_type":"in","li_name":"insurance-company","li_title":" Insurance Company *","li_req":"y","li_nm":"insurance-company"},"23":{"lid":"1549397592146","ls":"240","loff":"","li_type":"in","li_name":"insurance-agent-name","li_title":"Insurance Agent Name *","li_req":"y","li_nm":"insurance-agent-name"},"24":{"lid":"1549397627101","ls":"250","loff":"","li_type":"in","li_name":"insurance-agent-email","li_title":"Insurance Agent Email","li_nm":"insurance-agent-email"},"25":{"lid":"1549397671112","ls":"260","loff":"","li_type":"in","li_name":"insurance-agent-phone","li_title":"Insurance 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*","li_req":"y","li_nm":"insurance-federal-tax-id"},"31":{"lid":"1549398955034","ls":"320","loff":"","li_type":"st","li_btntitle":"Next","li_btntitle2":"Back"},"32":{"lid":"1549398579712","ls":"330","loff":"","li_type":"tx","li_text":"<div style=\"font-size:22px;font-family:'OpinionPro';\" data-customstyle=\"yes\"><strong>Fleet Information</strong></div>"},"33":{"lid":"1549397953520","ls":"340","loff":"","li_type":"rd","li_name":"fleet-states","li_title":" States/Regions Serviced","li_variants":"Mid Atlantic (VA,WV,MD,DE,PA,NJ,DC)\nMid West (IL,IN,OH,MI,KY)\nNorth Central (KS,NE,SD,ND,WI,MN,IA,MO)\nNorth East (NY,CT,RI,MA,VT,NH,ME)\nNorth West (OR,WA,ID,MT,AK)\nSouth Central (TX,LA,OK,AR,MS)\nSouth East (TN,NC,SC,GA,AL,FL)\nSouth West (CA,NV,AZ,NM)\nRocky Mountains (UT,CO,WY)\nAK\nAL\nAR\nAZ\nCA\nCO\nCT\nDC\nDE\nFL\nGA\nHI\nIA\nID\nIL\nIN\nKS\nKY\nLA\nMA\nMD\nME\nMI\nMN\nMO\nMS\nMT\nNC\nND\nNE\nNH\nNJ\nNM\nNV\nNY\nOH\nOK\nOR\nPA\nRI\nSC\nSD\nTN\nTX\nUT\nVA\nVT\nWA\nWI\nWV\nWY\nAB\nBC\nMB\nNB\nNL\nNS\nNT\nNU\nON\nPE\nQC\nSK\nYT","li_radcb":"cb","li_nm":"fleet-states"},"34":{"lid":"1549397494956","ls":"350","loff":"","li_type":"in","li_name":"fleet-trucks-in","li_title":"Trucks In Fleet *","li_req":"y","li_nm":"fleet-trucks-in"},"35":{"lid":"1549400254708","ls":"360","loff":"","li_type":"in","li_name":"fleet-total-capacity","li_title":"Total Capacity *","li_req":"y","li_nm":"fleet-total-capacity"},"36":{"lid":"1549400186884","ls":"370","loff":"","li_type":"in","li_title":"Trucks In Fleet *","li_req":"y","li_nm":"Trucks In Fleet "},"37":{"lid":"1549400371596","ls":"380","loff":"","li_type":"cb","li_name":"fleet-inop-capable","li_label":"<div style=\"font-size:16px;\" data-customstyle=\"yes\">INOP Capable</div>","li_nm":"fleet-inop-capable"},"38":{"lid":"1549400278843","ls":"390","loff":"","li_type":"cb","li_name":"fleet-have-winches","li_label":"<div style=\"font-size:16px;\" data-customstyle=\"yes\">Have Winches</div>","li_nm":"fleet-have-winches"},"39":{"lid":"1549400677212","ls":"400","loff":"","li_type":"cb","li_name":"fleet-have-internet","li_label":"<div style=\"font-size:16px;\" data-customstyle=\"yes\">Trucks Have Internet</div>","li_nm":"fleet-have-internet"},"40":{"lid":"1549400696985","ls":"410","loff":"","li_type":"cb","li_name":"fleet-have-straps","li_label":"<div style=\"font-size:16px;\" data-customstyle=\"yes\">Have Straps</div>","li_nm":"fleet-have-straps"},"41":{"lid":"1549400713882","ls":"420","loff":"","li_type":"cb","li_name":"fleet-enclosed-trucks","li_label":"<div style=\"font-size:16px;\" data-customstyle=\"yes\">Enclosed Trucks</div>","li_nm":"fleet-enclosed-trucks"},"42":{"lid":"1549400833635","ls":"430","loff":"","li_type":"cb","li_name":"fleet-twic-card","li_label":"<div style=\"font-size:16px;\" data-customstyle=\"yes\">TWIC Card</div>","li_nm":"fleet-twic-card"},"43":{"lid":"1549400176294","ls":"440","loff":"","li_type":"tx","li_text":"<div style=\"font-size:22px;font-family:'OpinionPro';\" data-customstyle=\"yes\"><strong>Equipment Specifications</strong></div>"},"44":{"lid":"1549471873715","ls":"450","loff":"","li_type":"tx","li_text":"<div style=\"font-size:18px;font-family:'OpinionPro';\" data-customstyle=\"yes\">Please specify the quantities of the open and enclosed trucks you have in your available inventory.</div>"},"45":{"lid":"1549471896695","ls":"460","loff":"","li_type":"in","li_name":"equipment-spec-car1-quantity","li_title":"Car 1","li_subtitle":"Open or Enclosed 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6","li_subtitle":"Open or Enclosed Quantity","li_nm":"equipment-spec-car6-quantity"},"51":{"lid":"1549882875475","ls":"520","loff":"","li_type":"in","li_name":"equipment-spec-car7-quantity","li_title":"Car 7","li_subtitle":"Open or Enclosed Quantity","li_nm":"equipment-spec-car7-quantity"},"52":{"lid":"1549882884435","ls":"530","loff":"","li_type":"in","li_name":"equipment-spec-car8-quantity","li_title":"Car 8","li_subtitle":"Open or Enclosed Quantity","li_nm":"equipment-spec-car8-quantity"},"53":{"lid":"1549882891297","ls":"540","loff":"","li_type":"in","li_name":"equipment-spec-car9-quantity","li_title":"Car 9","li_subtitle":"Open or Enclosed Quantity","li_nm":"equipment-spec-car9-quantity"},"54":{"lid":"1549882899264","ls":"550","loff":"","li_type":"in","li_name":"equipment-spec-car10-quantity","li_title":"Car 10","li_subtitle":"Open or Enclosed Quantity","li_nm":"equipment-spec-car10-quantity"},"55":{"lid":"1549882911573","ls":"560","loff":"","li_type":"in","li_name":"equipment-spec-flatbed-quantity","li_title":"Flatbed","li_subtitle":"Open or Enclosed Quantity","li_nm":"equipment-spec-flatbed-quantity"},"56":{"lid":"1549397500849","ls":"570","loff":"","li_type":"tx","li_text":"<div style=\"font-size:22px;font-family:'OpinionPro';\" data-customstyle=\"yes\"><strong>Registration Paperwork</strong></div>"},"57":{"lid":"1549472023767","ls":"580","loff":"","li_type":"tx","li_text":"<div style=\"font-size:14px;font-family:'OpinionPro';\" data-customstyle=\"yes\"> <strong></strong><strong></strong><strong>Download Documents</strong> <br><br> Please download, review, and complete the following registration documents as indicated. <strong>Notice:</strong> Files must be in PDF format in order for registration to be submitted. <br></div>"},"58":{"lid":"1549472412242","ls":"590","loff":"","li_type":"tx","li_text":"<div style=\"font-size:14px;font-family:'OpinionPro';\" data-customstyle=\"yes\"><a href=\"https://ucarecdn.com/e52ca271-87d2-430c-8008-c31c5e9cf6e9/w92019.pdf\" style=\"\">w-9 2019.pdf</a></div>"},"59":{"lid":"1549472333167","ls":"600","loff":"","li_type":"tx","li_text":"<div style=\"font-size:14px;font-family:'OpinionPro';\" data-customstyle=\"yes\"><a href=\"https://ucarecdn.com/286b68d6-fae3-4626-8655-df817bedba2f/ACHauthorizationformDessantTransportIncRev13019.pdf\" style=\"\">ACH authorization form Dessant Transport Inc Rev. 1.30.19.pdf</a></div>"},"60":{"lid":"1549472361001","ls":"610","loff":"","li_type":"uc","li_title":"Attach New File","li_uckey":"ae2478fe42f43168a39b","li_nm":"Attach New File"}}
