Fill in all requested fields.

The information from these fields will automatically generate a broker carrier agreement which you will have the opportunity to read and agree to. A W-9 will also be generated.

After submitting the broker/carrier agreement, please fax a copy of your authority and certificate of insurance to Majestic at 281-869-8039.
Someone from Majestic will contact you shortly to confirm that your information was received and successfully inputted into their system.

** Also in the “New carrier center” you will have the opportunity to download documentation on Majestic such as our credit information,
brokerage authority, surety bonds, and a blank W-9.

 
VIEW SAMPLE AGREEMENT

Company Info
Carrier Name:*
Carrier DOT No.:*
Authorized Representative Name*
(first, last):
Authorized Representative Title:*
Company Phone:*
Company Fax:*
Company Email: 
Check Appropriate box:*
       


Enter the tax classification(D=disregarded entity, C=corporation,P=partnership)

Enter Social security number or Employer identification number*

SSN  
or
EIN   

Company Address
Street:*
City:*
State:*
Zip:*