Transport Clearings East Inc P

	Transport Clearings East Inc P.O.Box 1093, Charlotte N.C. 28201-1093 Phone: 704-527-1820 • Fax:704-527-1851 Please complete the information below.
Your Name:
Company Name:
Street Address
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Fax #
E-Mail
Number of Trucks
Annual Revenue in Millions	1-3 3-5 5-10 10-20 Over 20
Type of Carrier
Are you currently factoring?	Yes No
If Yes/ With Who?
How Did You Hear About TCE? Comments	From a Current Member From the Internet From Transport Topics Other