Request a Quote
All of ASI's services are customized to meet the specific employee management needs of our customers. To provide you with an accurate quote for our services, we need some detailed information about your business.
Please complete the appropriate form below and submit it to us along with the requested information. You may complete the form electronically, or print it out and send it to us as a hard copy. (Adobe Acrobat Reader is required.)
Application for Trucking Businesses
Application For All Other Businesses
After you have completed the request form and gathered the necessary information, email it to sales@asillcwv.com or fax it to us at 304.768.5669. You may also mail the information to:
New Account Application
ASI
608 Chestnut Street
South Charleston, WV 25309
One of our customer service representatives will contact you to further discuss your proposal. All applications are kept in strict confidence. All information submitted is only used to provide you with an accurate quote for our services.