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Directory Results for Box 201, Baton Rouge, Louisiana 70821-0201 to Box 2010, Glen Allen, Virginia 230582010 (804) 2731400 (800) 3453351 Fax (804) 2731431 TRUCK CARGO PROPOSAL TRUCK CARGO APPLICATION SURVEY FOR INSURANCE PROPOSAL MUST BE COMPLETED AND SIGNED FOR QUOTATION TO BE TENDERED Name of Applicant:

Box 201, Baton Rouge, Louisiana 70821-0201
Box 2010, Glen Allen, Virginia 230582010 (804) 2731400 (800) 3453351 Fax (804) 2731431 TRUCK CARGO PROPOSAL TRUCK CARGO APPLICATION SURVEY FOR INSURANCE PROPOSAL MUST BE COMPLETED AND SIGNED FOR QUOTATION TO BE TENDERED Name of Applicant: