Select the class you are interested in. 

Red asterisk* indicates REQUIRED field
First Name*  Middle Initial Last Name
Street AddressCity State Zip        
 Please include Area Code with all phone numbers.
Home Phone*Cell PhonePager
Other Phone  Fax 
Please list as many contact methods as possible
Your Email address *must be typed like abc@yahoo.com
Educational background High School graduate GED Some college College grad College grad-4 years+ Trade School

Transportation experience or background  YES NO    
 
How did you get interested in becoming a Freight Broker/Agent
and what are some areas are you hoping that we can help you with:
    

Are you currently employed?YesNo

How did you find us? Search Engine - web Truck Paper ContingentCargo.com Transport Traiing International The Trucker Referred by someone Billboard Sign Truckstop Flyer DAT Other OOIDA Transport Topics Flying J Landline
(if by search engine,  which search engine and words did you type in to find us?)

  Google AOL MSN Bellsouth ATT Dogpile Searchit Yahoo Knology Hotbot 37.com Ixquick Botbot Wisenut Mega Spider Teoma AltaVista Direct Hit Goto FindWhat Sprinks Knoodle Look Smart Web Wombat Mega Web Other    example - google, msn, aol, seachit, etc.
(if by search engine, which words did type in to perform your search?)
  example - freight broker training, how to be a freight broker, etc.
(If you selected other, please explain or if you were referred by someone, please tell us who)

What is the best time  to contact you Morning 8 am til noon Afternoon Noon til 5 pm Time Zone Central Standard Time Eastern Standard Time Mountain Standard Time Pacific Standard Time

What is the best method to contact you Home Phone Cell Phone Email Snail Mail
 

Thanks!

By submitting this form you are requesting to be enrolled in the class selected. After submitting this form, you will be taken to the Shopping Cart to pay for your class. Simply choose the appropriate product and check out like you would any normal shopping cart. If you need assistance, please feel free to call us at 1-800-865-1923

By checking this box you are affirming that you have read and understand the following Cancellation and Refund Policy:  Of your total class tuition cost, $100.00 is for reserved for a non-refundable registration fee.  Should you decide to cancel, this fee will not be returned to you.   Should you decide to reschedule, the registration fee may be transferred to the next available class of your choice.  Cancellation more than 72 hours before the day of your scheduled class – all class tuition costs (with the exception of the registration fee) may be refunded to you.  Cancellation within 72 hours of your scheduled class – 50% of may be refunded to you.  There will be no refunds issued on or after the day of your scheduled class.  All refunds will adhere to this policy without exception.  
                                                                                                
 PRIVACY POLICY - This site is intended solely for information and application purposes only. 
The information you may provide is not resold or distributed to any third parties.  Application information is used solely for review by Authorities Direct, Hancock & Associates, Inc and Transport Training of America, Inc. and does not obligate the applicant until payment has been received.