Make your own free website on Tripod.com

Welcome Auto Dealers 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.

car_179.gif

                                                                              USER AGREEMENT FORM      


                                                                                      DEALERS ONLY


Please read the following user agreement before REQUESTING TO SUBMIT 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: DealerRequestor Name: __________________________ 

Requestor Email: ________________

Dealer Name: ____________________________________________________________

Dealer Address: __________________________________________________________


Dealer Phone #: (       ) _____________________ Fax: (    ) _______________________

Dealer Tax Payer FEIN# ______________________ W-9 Form: _________

Certificate of General Liability: _____________________________________________

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: ______