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.
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: ______