Job of the Month Submission

Your Contact Information

First Name: *

Last Name: *

Company Name: *

Phone Number: *

Email Address: *

Job Title: - Select an option - Owner/Operator Truck/Trailer Dealer Equipment Dealer Company Driver Contractor Fleet Manager Other

Shipping Information

Company Name:

Address: *

City: *

State/Province: * - Select a State - Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewen Yukon

Country: * - Select an option - USA Canada

Postal/ZIP Code: *

Job Submission Information

Please tell us a little bit about the haul your trailer made (what is the load, where were you taking it, what was interesting about the move). 

Description of Job: *

I approve the use of my photo for XL Specialized Trailers on advertising and social media material *

I am willing to be interviewed about my job of the month submission. *

• Yes
• No

High Resolution Photo (1024x768px or higher) *