Step 2/5. Personal & General Information

Apply Form. Personal & General Information

Personal information

Address

License details

Contact

  1. I authorize using or disclosing my individually identifiable personal information as described above for the purpose listed.
  2. I have the right to withdraw permission to release my information. If I sign this authorization to use or disclose information, I can revoke that authorization at any time except if you have already acted because of my permission. The revocation must be made in writing and will not affect information already used or disclosed.
  3. I further understand that a company or a person to whom records and information are disclosed under this authorization may not further use or disclose the personal information unless another authorization is obtained from me or unless such disclosure is specifically required or permitted by law. 
  4. All communication related to employment, data clarification, work processes, updates, assistance during after-hours, etc., is conducted via phone calls and text messages. 
  5. By checking this box, you agree to receive SMS text messages from Max Carriers, Inc.. Reply STOP to opt out at any time. Reply HELP for Customer Care Contact Information. Messages and data rates may apply. Messages and data rates may apply. Message frequency will vary.

General information