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LTL FREIGHT SAVINGS PROGRAM
DMIA is pleased to announce an exciting benefit for members - a transportation discount program for which only you, the member, are eligible! Roadway's discount program will significantly reduce your trans-portation costs. This benefit provides DMIA members with a discount of 55% off E-Z RATE, Roadway's rating system! Though virtually all DMIA members are eligible for this program, your participation is voluntary. If you would like to participate in the freight program and receive your discount, complete and return the enrollment form below. The sooner you complete and return the form, the sooner your company can start saving money! For changes of address of existing participants, or if you need additional information, please contact Sonia Land, Roadway's Corporate Account Executive, at 2550 Bellwood Rd., Richmond, VA 23237. Phone number: (804) 275-3514. Fax number: (804) 275-3615. Email address: sonia.land@roadway.com. FREIGHT ENROLLMENT FORM
(Please print this form, complete it, and mail it to Roadway, Attn: Don or Sonia, 2550 Bellwood Rd., Richmond, VA 23237 or fax to Roadway at (804) 275-3615.)Name/Title: _________________________________________________________________________ Company Name: _____________________________________________________________________ Physical Address (no P.O. Boxes): ______________________________________________________ City, State, Zip: ______________________________________________________________________ Billing Address: ______________________________________________________________________ City, State, Zip: ______________________________________________________________________ Phone/Fax: _________________________________ Email: __________________________________ Please list ALL company names (aliases) under which your company ships or receives freight. You must list all complete physical and billing addresses that you would like to enroll. Participation is limited to the names and locations enrolled. Use additional sheets, if necessary. Mail the completed form to Roadway, Attn: Sonia, 2550 Bellwood Rd., Richmond, VA 23237 or fax to Roadway at (804) 275-3615. Allow three weeks for your program to become effective. You will be notified in writing when your pricing becomes effective.
Authorized Signature: ________________________ Date: ____________________________________ Bank Name and Branch: _______________________________________________________________ Bank Account Number: _____________________ Bank Email Address: _____________________ Bank Phone Number: ________________________ Bank Fax Number: _________________________ FOR ROADWAY USE ONLY
Member: _________________________ Eff. Date: _____________________
Approved: Yes NoNational Code: ____________________ Term. Code: __________________ |