DeliveryOptions

Contractor Profile

	Name *:
	Address line 1 *:
	Address line 2:
	Phone number *:
	Available days *:	Mon Tue Wed Thu Fri Sat Sun
	Available Hours *:
	Can you give 10 days written notice in the event you are no longer available to provide delivery services? * Yes No
	Route Preferences/Expertise *:
	Vehicle make, model, year and mileage *:
	List previous work experiences including reason for separation and contact person *:
	What Systems do you have in place to ensure 100% reliability? *

	I am aware that this is NOT an application for employment. In addition, I am a self-employed Independent Contractor who may provide similar or other services to other people or entities and may sub-contract any or all work I receive from Delivery Options, Inc.