document.write('<!-- phpForms.net form BEGIN -->');document.write('<style>');document.write('<!--');document.write('.phpForms_pgtitle');document.write('{');document.write('    font-family : Arial;');document.write('    font-size   : 18px;');document.write('    color       : #1200d9;');document.write('    font-weight : bold;');document.write('}');document.write('.phpForms_btn');document.write('{');document.write('    border-top-width    : 1px;');document.write('    border-left-width   : 1px;');document.write('    border-bottom-width : 1px;');document.write('    border-right-width  : 1px;');document.write('    border-top-color    : #e4e4e4;');document.write('    border-left-color   : #e4e4e4;');document.write('    border-right-color  : #c1c1c1;');document.write('    border-bottom-color : #c1c1c1;');document.write('    font                : Verdana, Arial, Helvetica, sans-serif;');document.write('    color               : #000000;');document.write('}');document.write('-->');document.write('</style>');var aIds = Array( 'pg_801e316097','pg_00444e1554','pg_96366189c2','pg_301574a77a','pg_1259b3c908','pg_fd656e7cce','pg_987eca0f0a' );var aId  = Array ('pg_987eca0f0aqz', 'pg_987eca0f0a');function ChangePage( to_hide, to_show ){   var tbl_hide = document.getElementById( aIds[to_hide] );   var tbl_show = document.getElementById( aIds[to_show] );   if ( typeof(tbl_hide)=='object' && tbl_hide!=null )    if ( typeof(tbl_show)=='object' && tbl_show!=null )    {       tbl_hide.style.display = 'none';       tbl_show.style.display = '';    }	tbl_pre=document.getElementById(aId[0]);    tbl_pre.style.display='none';;tbl_show.style.display = '';}function NotEmpty( old_res, id, field_title ){   if ( old_res==0 )   {      var el = document.getElementById( id );      if ( typeof(el)=='object' && el!=null )        if ( el.value=='' )        {           alert( 'You should fill "' + field_title + '"' );           return 1;        }   }   return 0;}function Email( old_res, id, field_title ){    if ( old_res==0 )   {      var el = document.getElementById( id );      if ( typeof(el)=='object' && el!=null && el.value!='' )      {         var re = /^[a-zA-Z0-9_\.\-]+@([a-zA-Z0-9][a-zA-Z0-9-]+\.)+[a-zA-Z]{2,6}$/;         if (el.value.search(re) != -1 )  return 0;         else         {            alert( '"'+field_title+'" must be email' );            return 1;         }      }   }   return 0;}document.write('<form name="frm_63681eef6d" id="frm_63681eef6d" method="POST" enctype="multipart/form-data" action="http://www.contingentcargo.com/phpforms/index.php?sid=0" onSubmit="return false;">');document.write('<input type="hidden" name="act" value="idx">');document.write('<input type="hidden" name="code" value="01">');document.write('<input type="hidden" name="fid" value="63681eef6d">');function CheckPage801e316097(){   var nResult = 0;   nResult += NotEmpty( nResult, 'fld_3336ce928f','Your Name' );   nResult += Email( nResult, 'fld_591c5cde4c','Email' );   if ( nResult == 0 )   {      if (0)      {         var el = document.getElementById( 'frm_63681eef6d' );         if ( typeof(el)=='object' && el != null ) if (arguments[0] == 1)                                     {		                                el.submit();                                     } 		                             else Preview(1,0);      }      else ChangePage( 0, 1 );   }}document.write('     <!-- Page -->');document.write('     <table id="pg_801e316097" border="0" cellpadding="2" cellspacing="1" width="600" bgcolor="#efefef" class="phpForms_main" style="display:;border: solid 1px #777777;">');document.write('      <tr>  <!-- Page title -->');document.write('          <td colspan="2" align="center" vAlign="top">');document.write('             <span class="phpForms_pgtitle">Contact Information</span>');document.write('          </td>');document.write('      </tr> <!-- /Page title -->');document.write('      <tr>  <!-- Page top text -->');document.write('          <td colspan="2" align="center">');document.write('          Please give us accurate contact information to reach you.');document.write('          </td>');document.write('      </tr> <!-- /Page top text -->');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Your Name</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <input type="text" name="fld_3336ce928f"   id="fld_3336ce928f" value="" style="width:100%;">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Your Company Name</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <input type="text" name="fld_df9fecd1a3"   id="fld_df9fecd1a3" value="" style="width:100%;">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Phone</span>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <input type="text" name="fld_a5b4af54c2"   id="fld_a5b4af54c2" value="" style="width:100%;">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Email</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <input type="text" name="fld_591c5cde4c"   id="fld_591c5cde4c" value="" style="width:100%;">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Business Type</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <input type="radio" name="fld_6a801f3403" id="97a22d5b09"  value="Individual" style=""><label for="97a22d5b09">Individual</label><br>');document.write('<input type="radio" name="fld_6a801f3403" id="fc8d615daa"  value="Partnership" style=""><label for="fc8d615daa">Partnership</label><br>');document.write('<input type="radio" name="fld_6a801f3403" id="45cf06e472"  value="Corporation" style=""><label for="45cf06e472">Corporation</label><br>');document.write('<input type="radio" name="fld_6a801f3403" id="2471cf63dc"  value="LLC" style=""><label for="2471cf63dc">LLC</label>');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <!-- Buttons -->');document.write('          <td colspan="2" align="center" class="phpForms_main">');document.write('            <input type="button" value="Next" onClick=\'CheckPage801e316097();\' style="width:30%; background-color : #a2a2a2" class="phpForms_btn">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>  <!-- Page bottom text -->');document.write('          <td colspan="2" align="center">');document.write('          <hr>');document.write('              Note: Most completed documents will be sent to the email address provided unless otherwise specified.');document.write('          </td>');document.write('      </tr> <!-- /Page bottom text -->');document.write('     </table>');document.write('     <!-- /Page -->');function CheckPage00444e1554(){   var nResult = 0;   if ( nResult == 0 )   {      if (0)      {         var el = document.getElementById( 'frm_63681eef6d' );         if ( typeof(el)=='object' && el != null ) if (arguments[0] == 1)                                     {		                                el.submit();                                     } 		                             else Preview(1,0);      }      else ChangePage( 1, 2 );   }}document.write('     <!-- Page -->');document.write('     <table id="pg_00444e1554" border="0" cellpadding="2" cellspacing="1" width="600" bgcolor="#efefef" class="phpForms_main" style="display:none;border: solid 1px #777777;">');document.write('      <tr>  <!-- Page title -->');document.write('          <td colspan="2" align="center" vAlign="top">');document.write('             <span class="phpForms_pgtitle">Location</span>');document.write('          </td>');document.write('      </tr> <!-- /Page title -->');document.write('      <tr>  <!-- Page top text -->');document.write('          <td colspan="2" align="center">');document.write('          Please provide your Mailing and Physical Addresses.');document.write('          </td>');document.write('      </tr> <!-- /Page top text -->');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">MailingStreet</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <input type="text" name="fld_76b32dbd45"   id="fld_76b32dbd45" value="" style="width:100%;">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Mailing City</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <input type="text" name="fld_bf67eeaabf"   id="fld_bf67eeaabf" value="" style="width:100%;">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Mailing State</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <select name="fld_c713df8ff4" id="fld_c713df8ff4" style="width:100%;">');document.write('  <option value=\'Select State\' selected>Select State</option>');document.write('<option value=\'AL\'>Alabama</option>');document.write('<option value=\'AK\'>Alaska</option>');document.write('<option value=\'AZ\'>Arizona</option>');document.write('<option value=\'AR\'>Arkansas</option>');document.write('<option value=\'CA\'>California</option>');document.write('<option value=\'CO\'>Colorado</option>');document.write('<option value=\'CT\'>Connecticut</option>');document.write('<option value=\'DC\'>D.C.</option>');document.write('<option value=\'DE\'>Delaware</option>');document.write('<option value=\'FL\'>Florida</option>');document.write('<option value=\'GA\'>Georgia</option>');document.write('<option value=\'HI\'>Hawaii</option>');document.write('<option value=\'ID\'>Idaho</option>');document.write('<option value=\'IL\'>Illinois</option>');document.write('<option value=\'IN\'>Indiana</option>');document.write('<option value=\'IA\'>Iowa</option>');document.write('<option value=\'KS\'>Kansas</option>');document.write('<option value=\'KY\'>Kentucky</option>');document.write('<option value=\'LA\'>Louisiana</option>');document.write('<option value=\'ME\'>Maine</option>');document.write('<option value=\'MD\'>Maryland</option>');document.write('<option value=\'MA\'>Massachusetts</option>');document.write('<option value=\'MI\'>Michigan</option>');document.write('<option value=\'MN\'>Minnesota</option>');document.write('<option value=\'MS\'>Mississippi</option>');document.write('<option value=\'MO\'>Missouri</option>');document.write('<option value=\'MT\'>Montana</option>');document.write('<option value=\'NE\'>Nebraska</option>');document.write('<option value=\'NV\'>Nevada</option>');document.write('<option value=\'NH\'>New Hampshire</option>');document.write('<option value=\'NJ\'>New Jersey</option>');document.write('<option value=\'NM\'>New Mexico</option>');document.write('<option value=\'NY\'>New York</option>');document.write('<option value=\'NC\'>North Carolina</option>');document.write('<option value=\'ND\'>North Dakota</option>');document.write('<option value=\'OH\'>Ohio</option>');document.write('<option value=\'OK\'>Oklahoma</option>');document.write('<option value=\'OR\'>Oregon</option>');document.write('<option value=\'PA\'>Pennsylvania</option>');document.write('<option value=\'RI\'>Rhode Island</option>');document.write('<option value=\'SC\'>South Carolina</option>');document.write('<option value=\'SD\'>South Dakota</option>');document.write('<option value=\'TN\'>Tennessee</option>');document.write('<option value=\'TX\'>Texas</option>');document.write('<option value=\'UT\'>Utah</option>');document.write('<option value=\'VT\'>Vermont</option>');document.write('<option value=\'VA\'>Virginia</option>');document.write('<option value=\'WA\'>Washington</option>');document.write('<option value=\'WV\'>West Virginia</option>');document.write('<option value=\'WI\'>Wisconsin</option>');document.write('<option value=\'WY\'>Wyoming</option>');document.write('</select>');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Mailing Zip</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <input type="text" name="fld_8f73ef26ac"   id="fld_8f73ef26ac" value="" style="width:100%;">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Physical Street</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <input type="text" name="fld_70ee005ace"   id="fld_70ee005ace" value="" style="width:100%;">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Physical City</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <input type="text" name="fld_32b6ace440"   id="fld_32b6ace440" value="" style="width:100%;">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Physical State</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <select name="fld_a7da7a76fb" id="fld_a7da7a76fb" style="width:100%;">');document.write('  <option value=\'AL\'>Alabama</option>');document.write('<option value=\'AK\'>Alaska</option>');document.write('<option value=\'AZ\'>Arizona</option>');document.write('<option value=\'AR\'>Arkansas</option>');document.write('<option value=\'CA\'>California</option>');document.write('<option value=\'CO\'>Colorado</option>');document.write('<option value=\'CT\'>Connecticut</option>');document.write('<option value=\'DC\'>D.C.</option>');document.write('<option value=\'DE\'>Delaware</option>');document.write('<option value=\'FL\'>Florida</option>');document.write('<option value=\'GA\'>Georgia</option>');document.write('<option value=\'HI\'>Hawaii</option>');document.write('<option value=\'ID\'>Idaho</option>');document.write('<option value=\'IL\'>Illinois</option>');document.write('<option value=\'IN\'>Indiana</option>');document.write('<option value=\'IA\'>Iowa</option>');document.write('<option value=\'KS\'>Kansas</option>');document.write('<option value=\'KY\'>Kentucky</option>');document.write('<option value=\'LA\'>Louisiana</option>');document.write('<option value=\'ME\'>Maine</option>');document.write('<option value=\'MD\'>Maryland</option>');document.write('<option value=\'MA\'>Massachusetts</option>');document.write('<option value=\'MI\'>Michigan</option>');document.write('<option value=\'MN\'>Minnesota</option>');document.write('<option value=\'MS\'>Mississippi</option>');document.write('<option value=\'MO\'>Missouri</option>');document.write('<option value=\'MT\'>Montana</option>');document.write('<option value=\'NE\'>Nebraska</option>');document.write('<option value=\'NV\'>Nevada</option>');document.write('<option value=\'NH\'>New Hampshire</option>');document.write('<option value=\'NJ\'>New Jersey</option>');document.write('<option value=\'NM\'>New Mexico</option>');document.write('<option value=\'NY\'>New York</option>');document.write('<option value=\'NC\'>North Carolina</option>');document.write('<option value=\'ND\'>North Dakota</option>');document.write('<option value=\'OH\'>Ohio</option>');document.write('<option value=\'OK\'>Oklahoma</option>');document.write('<option value=\'OR\'>Oregon</option>');document.write('<option value=\'PA\'>Pennsylvania</option>');document.write('<option value=\'RI\'>Rhode Island</option>');document.write('<option value=\'SC\'>South Carolina</option>');document.write('<option value=\'SD\'>South Dakota</option>');document.write('<option value=\'TN\'>Tennessee</option>');document.write('<option value=\'TX\'>Texas</option>');document.write('<option value=\'UT\'>Utah</option>');document.write('<option value=\'VT\'>Vermont</option>');document.write('<option value=\'VA\'>Virginia</option>');document.write('<option value=\'WA\'>Washington</option>');document.write('<option value=\'WV\'>West Virginia</option>');document.write('<option value=\'WI\'>Wisconsin</option>');document.write('<option value=\'WY\'>Wyoming</option>');document.write('</select>');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Physical Zip</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <input type="text" name="fld_1974c10aef"   id="fld_1974c10aef" value="" style="width:100%;">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <!-- Buttons -->');document.write('          <td colspan="2" align="center" class="phpForms_main">');document.write('            <input type="button" value="Previous" onClick=\'ChangePage(1,0)\' style="width:30%; background-color : #a2a2a2" class="phpForms_btn">');document.write('            <input type="button" value="&quot;Next&quot;" onClick=\'CheckPage00444e1554();\' style="width:30%; background-color : #a2a2a2" class="phpForms_btn">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>  <!-- Page bottom text -->');document.write('          <td colspan="2" align="center">');document.write('          <hr>');document.write('              Note: Most completed documents will be sent to the email address provided unless otherwise specified.');document.write('          </td>');document.write('      </tr> <!-- /Page bottom text -->');document.write('     </table>');document.write('     <!-- /Page -->');function CheckPage96366189c2(){   var nResult = 0;   nResult += NotEmpty( nResult, 'fld_dc815c7b74','FEIN (Tax ID Number) or Social Sec Number' );   if ( nResult == 0 )   {      if (0)      {         var el = document.getElementById( 'frm_63681eef6d' );         if ( typeof(el)=='object' && el != null ) if (arguments[0] == 1)                                     {		                                el.submit();                                     } 		                             else Preview(1,0);      }      else ChangePage( 2, 3 );   }}document.write('     <!-- Page -->');document.write('     <table id="pg_96366189c2" border="0" cellpadding="2" cellspacing="1" width="600" bgcolor="#efefef" class="phpForms_main" style="display:none;border: solid 1px #777777;">');document.write('      <tr>  <!-- Page title -->');document.write('          <td colspan="2" align="center" vAlign="top">');document.write('             <span class="phpForms_pgtitle">Compliance Information</span>');document.write('          </td>');document.write('      </tr> <!-- /Page title -->');document.write('      <tr>  <!-- Page top text -->');document.write('          <td colspan="2" align="center">');document.write('          Please provide the following.');document.write('          </td>');document.write('      </tr> <!-- /Page top text -->');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">FEIN (Tax ID Number) or Social Sec Number</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <input type="text" name="fld_dc815c7b74"   id="fld_dc815c7b74" value="" style="width:100%;">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Type of Authority Needed</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <select name="fld_29776fa19d[]" id="fld_29776fa19d" size="5" multiple style="width:100%;">');document.write('  <option value=\'Common Carrier(except household goods)\'>Common Carrier(except household goods)</option>');document.write('<option value=\'Contract Carrier(except household goods)\'>Contract Carrier(except household goods)</option>');document.write('<option value=\'Passenger Authority\'>Passenger Authority</option>');document.write('<option value=\'Hazardous Interstate Authority\'>Hazardous Interstate Authority</option>');document.write('<option value=\'Household Goods Authority\'>Household Goods Authority</option>');document.write('</select>');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <!-- Buttons -->');document.write('          <td colspan="2" align="center" class="phpForms_main">');document.write('            <input type="button" value="Previous" onClick=\'ChangePage(2,1)\' style="width:30%; background-color : #a2a2a2" class="phpForms_btn">');document.write('            <input type="button" value="Next" onClick=\'CheckPage96366189c2();\' style="width:30%; background-color : #a2a2a2" class="phpForms_btn">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>  <!-- Page bottom text -->');document.write('          <td colspan="2" align="center">');document.write('          <hr>');document.write('              Note: Most completed documents will be sent to the email address provided unless otherwise specified.');document.write('          </td>');document.write('      </tr> <!-- /Page bottom text -->');document.write('     </table>');document.write('     <!-- /Page -->');function CheckPage301574a77a(){   var nResult = 0;   nResult += NotEmpty( nResult, 'fld_7ea2ffff10','Gross Vehicle Weight' );   if ( nResult == 0 )   {      if (0)      {         var el = document.getElementById( 'frm_63681eef6d' );         if ( typeof(el)=='object' && el != null ) if (arguments[0] == 1)                                     {		                                el.submit();                                     } 		                             else Preview(1,0);      }      else ChangePage( 3, 4 );   }}document.write('     <!-- Page -->');document.write('     <table id="pg_301574a77a" border="0" cellpadding="2" cellspacing="1" width="600" bgcolor="#efefef" class="phpForms_main" style="display:none;border: solid 1px #777777;">');document.write('      <tr>  <!-- Page title -->');document.write('          <td colspan="2" align="center" vAlign="top">');document.write('             <span class="phpForms_pgtitle">Equipment &amp; Drivers</span>');document.write('          </td>');document.write('      </tr> <!-- /Page title -->');document.write('      <tr>  <!-- Page top text -->');document.write('          <td colspan="2" align="center">');document.write('          Please provide the following.');document.write('          </td>');document.write('      </tr> <!-- /Page top text -->');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Gross Vehicle Weight</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <input type="text" name="fld_7ea2ffff10"   id="fld_7ea2ffff10" value="" style="width:100%;">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style=""># of Drivers</span>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <input type="text" name="fld_0da2e41b87"   id="fld_0da2e41b87" value="" style="width:100%;">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style=""># of Trucks</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <input type="text" name="fld_3b6f755716"   id="fld_3b6f755716" value="" style="width:100%;">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Type of Unit</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <select name="fld_a45e6f32a7[]" id="fld_a45e6f32a7" size="5" multiple style="width:100%;">');document.write('  <option value=\'Truck\'>Truck</option>');document.write('<option value=\'Tractor\'>Tractor</option>');document.write('<option value=\'Self Propelled\'>Self Propelled</option>');document.write('</select>');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <!-- Buttons -->');document.write('          <td colspan="2" align="center" class="phpForms_main">');document.write('            <input type="button" value="Previous" onClick=\'ChangePage(3,2)\' style="width:30%; background-color : #a2a2a2" class="phpForms_btn">');document.write('            <input type="button" value="Next" onClick=\'CheckPage301574a77a();\' style="width:30%; background-color : #a2a2a2" class="phpForms_btn">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>  <!-- Page bottom text -->');document.write('          <td colspan="2" align="center">');document.write('          <hr>');document.write('              Note: Most completed documents will be sent to the email address provided unless otherwise specified.');document.write('          </td>');document.write('      </tr> <!-- /Page bottom text -->');document.write('     </table>');document.write('     <!-- /Page -->');function CheckPage1259b3c908(){   var nResult = 0;   if ( nResult == 0 )   {      if (0)      {         var el = document.getElementById( 'frm_63681eef6d' );         if ( typeof(el)=='object' && el != null ) if (arguments[0] == 1)                                     {		                                el.submit();                                     } 		                             else Preview(1,0);      }      else ChangePage( 4, 5 );   }}document.write('     <!-- Page -->');document.write('     <table id="pg_1259b3c908" border="0" cellpadding="2" cellspacing="1" width="600" bgcolor="#efefef" class="phpForms_main" style="display:none;border: solid 1px #777777;">');document.write('      <tr>  <!-- Page title -->');document.write('          <td colspan="2" align="center" vAlign="top">');document.write('             <span class="phpForms_pgtitle">Your Operation</span>');document.write('          </td>');document.write('      </tr> <!-- /Page title -->');document.write('      <tr>  <!-- Page top text -->');document.write('          <td colspan="2" align="center">');document.write('          Please tell us about your operation.');document.write('          </td>');document.write('      </tr> <!-- /Page top text -->');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Classification</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <input type="radio" name="fld_4b95c339e9" id="589263723e"  value="Authorized For Hire" style=""><label for="589263723e">Authorized For Hire</label><br>');document.write('<input type="radio" name="fld_4b95c339e9" id="3ab2a20aec"  value="Exempt For Hire" style=""><label for="3ab2a20aec">Exempt For Hire</label><br>');document.write('<input type="radio" name="fld_4b95c339e9" id="a2c099612b"  value="Private(Property)" style=""><label for="a2c099612b">Private(Property)</label><br>');document.write('<input type="radio" name="fld_4b95c339e9" id="2260002d4c"  value="Priv. 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Gov&#39;t</label><br>');document.write('<input type="radio" name="fld_4b95c339e9" id="f53a1ddb3e"  value="State Gov&#39;t" style=""><label for="f53a1ddb3e">State Gov&#39;t</label><br>');document.write('<input type="radio" name="fld_4b95c339e9" id="9bbf6d7098"  value="Local Gov&#39;t" style=""><label for="9bbf6d7098">Local Gov&#39;t</label><br>');document.write('<input type="radio" name="fld_4b95c339e9" id="9eb09e9519"  value="Indian Nation" style=""><label for="9eb09e9519">Indian Nation</label>');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <!-- Buttons -->');document.write('          <td colspan="2" align="center" class="phpForms_main">');document.write('            <input type="button" value="Previous" onClick=\'ChangePage(4,3)\' style="width:30%; background-color : #a2a2a2" class="phpForms_btn">');document.write('            <input type="button" value="Next" onClick=\'CheckPage1259b3c908();\' style="width:30%; background-color : #a2a2a2" class="phpForms_btn">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>  <!-- Page bottom text -->');document.write('          <td colspan="2" align="center">');document.write('          <hr>');document.write('              Note: Most completed documents will be sent to the email address provided unless otherwise specified.');document.write('          </td>');document.write('      </tr> <!-- /Page bottom text -->');document.write('     </table>');document.write('     <!-- /Page -->');function CheckPagefd656e7cce(){   var nResult = 0;   if ( nResult == 0 )   {      if (0)      {         var el = document.getElementById( 'frm_63681eef6d' );         if ( typeof(el)=='object' && el != null ) if (arguments[0] == 1)                                     {		                                el.submit();                                     } 		                             else Preview(1,0);      }      else ChangePage( 5, 6 );   }}document.write('     <!-- Page -->');document.write('     <table id="pg_fd656e7cce" border="0" cellpadding="2" cellspacing="1" width="600" bgcolor="#efefef" class="phpForms_main" style="display:none;border: solid 1px #777777;">');document.write('      <tr>  <!-- Page title -->');document.write('          <td colspan="2" align="center" vAlign="top">');document.write('             <span class="phpForms_pgtitle">Operation</span>');document.write('          </td>');document.write('      </tr> <!-- /Page title -->');document.write('      <tr>  <!-- Page top text -->');document.write('          <td colspan="2" align="center">');document.write('          Please describe your business.');document.write('          </td>');document.write('      </tr> <!-- /Page top text -->');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Operation Class</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <select name="fld_f75457a846" id="fld_f75457a846" style="width:100%;">');document.write('  <option value=\'Interstate\'>Interstate</option>');document.write('<option value=\'Intrastate Only (HM)\'>Intrastate Only (HM)</option>');document.write('<option value=\'Intrastate Only (Non-HM)\'>Intrastate Only (Non-HM) </option>');document.write('</select>');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <!-- Buttons -->');document.write('          <td colspan="2" align="center" class="phpForms_main">');document.write('            <input type="button" value="Previous" onClick=\'ChangePage(5,4)\' style="width:30%; background-color : #a2a2a2" class="phpForms_btn">');document.write('            <input type="button" value="Next" onClick=\'CheckPagefd656e7cce();\' style="width:30%; background-color : #a2a2a2" class="phpForms_btn">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>  <!-- Page bottom text -->');document.write('          <td colspan="2" align="center">');document.write('          <hr>');document.write('              Note: Most completed documents will be sent to the email address provided unless otherwise specified.');document.write('          </td>');document.write('      </tr> <!-- /Page bottom text -->');document.write('     </table>');document.write('     <!-- /Page -->');function CheckPage987eca0f0a(){   var nResult = 0;   if ( nResult == 0 )   {      if (1)      {         var el = document.getElementById( 'frm_63681eef6d' );         if ( typeof(el)=='object' && el != null ) if (arguments[0] == 1)                                     {		                                el.submit();                                     } 		                             else Preview(1,0);      }      else ChangePage( 6, 7 );   }}document.write('     <!-- Page -->');document.write('     <table id="pg_987eca0f0a" border="0" cellpadding="2" cellspacing="1" width="600" bgcolor="#efefef" class="phpForms_main" style="display:none;border: solid 1px #777777;">');document.write('      <tr>  <!-- Page title -->');document.write('          <td colspan="2" align="center" vAlign="top">');document.write('             <span class="phpForms_pgtitle">Cargo Carried</span>');document.write('          </td>');document.write('      </tr> <!-- /Page title -->');document.write('      <tr>  <!-- Page top text -->');document.write('          <td colspan="2" align="center">');document.write('          Please identify commodities that you may intend to transport. USE CTRL + CLICK to select multiple commodities.');document.write('          </td>');document.write('      </tr> <!-- /Page top text -->');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Commodities</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <select name="fld_2daaa76d47[]" id="fld_2daaa76d47" size="5" multiple style="width:100%;">');document.write('  <option value=\'General Freight\'>General Freight</option>');document.write('<option value=\'Household Goods\'>Household Goods</option>');document.write('<option value=\'Metal: sheets, coils, rolls\'>Metal: sheets, coils, rolls</option>');document.write('<option value=\'Motor Vehicles\'>Motor Vehicles</option>');document.write('<option value=\'Drive/Tow away\'>Drive/Tow away</option>');document.write('<option value=\'Logs, Poles, Beams, Lumber\'>Logs, Poles, Beams, Lumber</option>');document.write('<option value=\'Building Materials\'>Building Materials</option>');document.write('<option value=\'Mobile Homes\'>Mobile Homes</option>');document.write('<option value=\'Machinery, Large Objects\'>Machinery, Large Objects</option>');document.write('<option value=\'Fresh Produce\'>Fresh Produce</option>');document.write('<option value=\'Liquids/Gases\'>Liquids/Gases</option>');document.write('<option value=\'Intermodal Containers\'>Intermodal Containers</option>');document.write('<option value=\'Passengers\'>Passengers</option>');document.write('<option value=\'Oilfield Equipment\'>Oilfield Equipment</option>');document.write('<option value=\'Livestock\'>Livestock</option>');document.write('<option value=\'Grain, Feed, Hay\'>Grain, Feed, Hay</option>');document.write('<option value=\'Coal/Coke\'>Coal/Coke</option>');document.write('<option value=\'Meat\'>Meat</option>');document.write('<option value=\'Garbage/Refuse\'>Garbage/Refuse</option>');document.write('<option value=\'US Mail\'>US Mail</option>');document.write('<option value=\'Chemicals\'>Chemicals</option>');document.write('<option value=\'Commodities Dry Bulk\'>Commodities Dry Bulk</option>');document.write('<option value=\'Refrigerated Food\'>Refrigerated Food</option>');document.write('<option value=\'Beverages\'>Beverages</option>');document.write('<option value=\'Paper Products\'>Paper Products</option>');document.write('<option value=\'Utilities\'>Utilities</option>');document.write('<option value=\'Agricultural/Farm Supplies\'>Agricultural/Farm Supplies</option>');document.write('<option value=\'Construction\'>Construction</option>');document.write('<option value=\'Water Well\'>Water Well</option>');document.write('</select>');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <!-- Buttons -->');document.write('          <td colspan="2" align="center" class="phpForms_main">');document.write('            <input type="button" value="Previous" onClick=\'ChangePage(6,5)\' style="width:30%; background-color : #a2a2a2" class="phpForms_btn">');document.write('            <input type="button" value="Preview" onClick=\'CheckPage987eca0f0a();\' style="width:30%; background-color : #a2a2a2" class="phpForms_btn">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>  <!-- Page bottom text -->');document.write('          <td colspan="2" align="center">');document.write('          <hr>');document.write('              PLEASE USE CAUTION IN SELECTING THE COMMODITIES CARRIED. SELECT ONLY THOSE THAT BEST DESCRIBE YOUR BUSINESS <br>AND THOSE THAT APPLY TO YOUR OPERATION. THIS INFORMATION IS REVIEWED BY YOUR UNDERWRITING INSURANCE CARRIER <br>AS WELL AS FMCSA');document.write('          </td>');document.write('      </tr> <!-- /Page bottom text -->');document.write('     </table>');document.write('     <!-- /Page -->');document.write('<!--preview js-->');  function Preview(to_show, to_hide ){   var tbl_hide = document.getElementById( aId[to_show] );   var tbl_show = document.getElementById( aId[to_hide] );checktags();   if ( typeof(tbl_hide)=='object' && tbl_hide!=null )    if ( typeof(tbl_show)=='object' && tbl_show!=null )    {       tbl_hide.style.display = 'none';       tbl_show.style.display = '';    }    tbl_pre=document.getElementById(aId[1]);    tbl_pre.style.display='none';	}function submit(){  var el = document.getElementById(  );  if ( typeof(el)=='object' && el != null )    el.submit();}function checktags(){  var inputList = document.getElementsByTagName("INPUT");  for(i=0; i<inputList.length; i++)  {    if (inputList[i].name == 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        </td>');document.write('      </tr>      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Phone</span>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <span id="fld_a5b4af54c2qz"></span>');document.write('          </td>');document.write('      </tr>      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Email</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <span id="fld_591c5cde4cqz"></span>');document.write('          </td>');document.write('      </tr>      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Business Type</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <span id="fld_6a801f3403qz"></span>');document.write('          </td>');document.write('      </tr>      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">MailingStreet</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <span id="fld_76b32dbd45qz"></span>');document.write('          </td>');document.write('      </tr>      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Mailing City</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <span id="fld_bf67eeaabfqz"></span>');document.write('          </td>');document.write('      </tr>      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Mailing State</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <span id="fld_c713df8ff4qz"></span>');document.write('          </td>');document.write('      </tr>      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Mailing Zip</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <span id="fld_8f73ef26acqz"></span>');document.write('          </td>');document.write('      </tr>      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Physical Street</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <span id="fld_70ee005aceqz"></span>');document.write('          </td>');document.write('      </tr>      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Physical City</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <span id="fld_32b6ace440qz"></span>');document.write('          </td>');document.write('      </tr>      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Physical State</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <span id="fld_a7da7a76fbqz"></span>');document.write('          </td>');document.write('      </tr>      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Physical Zip</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <span id="fld_1974c10aefqz"></span>');document.write('          </td>');document.write('      </tr>      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">FEIN (Tax ID Number) or Social Sec Number</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <span id="fld_dc815c7b74qz"></span>');document.write('          </td>');document.write('      </tr>      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Type of Authority Needed</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <span id="fld_29776fa19dqz"></span>');document.write('          </td>');document.write('      </tr>      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Gross Vehicle Weight</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <span id="fld_7ea2ffff10qz"></span>');document.write('          </td>');document.write('      </tr>      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style=""># of Drivers</span>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <span id="fld_0da2e41b87qz"></span>');document.write('          </td>');document.write('      </tr>      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style=""># of Trucks</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <span id="fld_3b6f755716qz"></span>');document.write('          </td>');document.write('      </tr>      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Type of Unit</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <span id="fld_a45e6f32a7qz"></span>');document.write('          </td>');document.write('      </tr>      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Classification</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <span id="fld_4b95c339e9qz"></span>');document.write('          </td>');document.write('      </tr>      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Operation Class</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <span id="fld_f75457a846qz"></span>');document.write('          </td>');document.write('      </tr>      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Commodities</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <span id="fld_2daaa76d47qz"></span>');document.write('          </td>');document.write('      </tr>');document.write('     <tr>');document.write('          <!-- Buttons -->');document.write('          <td colspan="2" align="center" class="phpForms_main">');document.write('            <input type=\'button\' value="Back" onClick=\'ChangePage(1,0)\' style="width:30%; background-color : #a2a2a2" class="phpForms_btn">');document.write('            <input type="button" value="Submit" style="width:30%; background-color : #a2a2a2" class="phpForms_btn" OnClick="submit()">');document.write('          </td>');document.write('      </tr>');document.write('     </table>');document.write('<!--/preview-->');document.write('</form>');document.write('<!-- /phpForms.net form END -->');