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Welcome Brokers to your Free Access Auto Load Board! Please read and understand the User Agreement form before submitting your request. Upon posting any individual cars, partial loads or full loads; you must be approved. Any loads posted without permission will be deleted and your load will not be moved. Fax the form below to ( 305 ) 513-5115.

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                                                                         USER AGREEMENT FORM
                                                                                   BROKERs ONLY


Please read the following user agreement before REQUESTING TO POST your load. Upon posting any individual cars, partial loads or full loads; please fill out the following form and fax back to 305-513-5115 for permission to use this site.

Vendor Type: Broker 


Requestor Name: __________________________ 
Requestor Email: ________________

Broker Name: ____________________________________________________________

Broker Address: __________________________________________________________

Phone #: (       ) _____________________
Fax: (    ) _____________________________
Cell: (   ) ______________________
Cell #2  (    ) _______________________________

Broker Tax Payer FEIN# ______________________ W-9 Form: ___

Broker Authority /BC# _____________________    
Dealer License# _______________

Insurance Bond: __________________________________________________________
ON A SEPARATE SHEET OF PAPER FAX 5 REFERENCES
( name / companies, address, phone ) references will be called upon permission to post.


Signature: ___________________________         

Print: _________________________

Date of Agreement :___________________          

Witness: _______________________


Office use only:
References Checked: _____
Authority Status Checked: ______
Insurance Status Checked: ______