Truck Discount Mart specializes in Used Owner Operator style trucks we sell Kenworth trucks, Freightliner trucks, Volvo trucks, International trucks, Western Star trucks, Mack trucks, Sterling trucks - if we don't have what you are looking for give us a call we'll find it for you! We are the internet truck supermarket you've been hearing about! THE BEST DEAL IN TRUCKING!


Please complete the following online application and take a second to let us know where you originally heard about us...
TRUCK APPLICATION
Use your tab key to move to different fields - not the enter key!
* -  Required Field

*First Name *Middle Initial
*Last Name *Street Address
*City *State
*Zip Code *Home Phone
(No hyphen or dash)
Cell Number
(No hyphen or dash)

E-mail Address

*Date of  Birth (mm/dd/yy) SS Number
No dashes
CDL Number CDL State
CDL Exp Date
(mm/yy) No hyphen or dashes
*Years OTR
OTR Miles
No commas
# of Speeding Tickets past 3 years
Number of Accidents Driving School
Name (If yes where)
Marital Status Spouse or Significant Others Name
Are they employed Do you Own or Rent
Monthly Rental/Mortgage Amount Landlord/Mortgage Name
Savings  Name Savings Account  Number
Checking Name Checking Account Number
*REFERENCE Name, Phone Relationship REFERENCE Name, Phone Relationship
*Relative (Not
 Living with you) 

/ Relationship 


*Relative Address
*Relative Phone    

Employment  History (5 years)

*Current Employer          
                                                              
Dates  Name and Phone #   
Previous Employer         
                                                              
Dates  Name and Phone #  
Previous Employer         
                                                              
Dates  Name and Phone #  
Previous Employer         
                                                             
Dates  Name and Phone #  
Where did you            
hear about us?
Name of Salesman      
if you've talked to
one before

 

This report is prepared under the Fair Credit Reporting Act (FCRA) guidelines.  I have the right to make a written request to Truck Discount Mart, Inc and the company Truck Discount Mart, Inc.  has contracted me with, to release the nature and substance of all information in its files on me at that time, including the source of information.  By submitting this application, I hereby consent to your obtaining the above information from DAC, and other services with the agreement that such information which Truck Discount Mart, Inc. has or obtains, including my business history with Truck Discount Mart, Inc. if accepted, may be supplied to other companies. I also agree to receive Truck Discount Mart, Inc's inventory updates.



TRUCK DISCOUNT MART, INC,  (1-800-377-3101)
Copyright © 2002 [Truck Discount Mart, Inc.]. All rights reserved.
Revised: October 20, 2009