Use the form below to request information about becoming a Landstar Business Capacity Owner (BCO).

* =Required

*First Name:
Middle Initial:
*Last Name:
*Address 1:
Address 2:
*City:
*State:	Select One Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware Dist. Columbia Florida Georgia Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Mebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northwest Territories Nova Scotia Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Isl. Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Yukon
*Zip Code:
*Birth Date:	- - e.g. MM/DD/YYYY
*Phone:	e.g.(904) 555-5555
Cell Phone:	e.g.(904) 555-5555
Email:
*Class A CDL?:	Select One Yes No

Comments:	0 characters 1,000 Character Limit
Disclaimer and Notice: This request for information is a preliminary indication of interest in becoming a business capacity owner (“BCO”) for a motor carrier subsidiary of Landstar System, Inc. (“Landstar”). The information provided on this form is being gathered to authorize and enable Landstar to contact the individual providing such information regarding his or her interest in becoming a Landstar BCO. The gathering of this information should not be viewed as any type of commitment from Landstar System, Inc. or any of its subsidiaries to qualify you as a BCO or to otherwise enter into a contractual relationship with you. Similarly, Landstar does not view your provision of this preliminary information as a commitment from you to become a Landstar BCO. This information may be used by Landstar personnel during the qualification process and, except as may be otherwise required by law, will not be disclosed to individuals outside of Landstar System, Inc. and its subsidiaries without your written authorization.