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Washington State Trip Permit Form 2018
COLONIA (MEXICO ONLY)
15. USDOT NO.
7. ZIP CODE+4
12. PRINCIPAL PHONE NUMBER
16. MC OR MX NO.
8. MAILING CITY
9. STATE/PROVINCE
13. COLONIA (MEXICO ONLY)
17. DUN & BRADSTREET NO.
14. PRINCIPAL FAX NUMBER
18. IRS/TAX ID NO.
EIN #
10. ZIP CODE+4
19. INTERNET E-MAIL ADDRESS
SSN #
20. CARRIER OPERATION (Circle One)
A. Interstate
B. Intrastate Only (Hazardous Materials)
C. Intrastate Only (Non-Hazardous Materials)
21. SHIPPER OF HAZARDOUS MATERIALS OPERATION (Circle One)
A....
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