Gazelle Dispatch Service LLC Agreement

We Believe on Providing Best Services to Our Customers as as Per Commitment

CARRIER AGREEMENT

Company Name

Physical Address

City

State/ Province

Postal / Zip Code

Phone #

MC#

DOT#

Truck Type

Weight Limit

Truck Length

Payment Agreed ($)

Date:

Attach MC Authority Letter, Notice of Assignement (NOA), Certificate of Insurance (COI) & W9 Form

I hereby authorize Gazelle Dispatch Service LLC to provide the information I have submitted in this form to brokerage companies or any other entities as required by FMCSA/DOT regulations during load booking, freight delivery, or afterward if needed for payment purposes. They are authorized to use this information to deliver dispatch services to our company, in accordance with the agreed-upon payment package, which we will pay weekly after receiving payments for delivered loads. Gazelle Dispatch Service LLC will be responsible for finding the best possible-paying load options for our truck(s). Additionally, they will handle paperwork, calls brokers, and, when necessary, to shippers and receivers.

By providing a telephone number and submitting the form you are consenting to be contacted by SMS text message. Message & data rates may apply. Reply STOP to opt out of further messaging.

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265 WESTWOOD AVE UNIT 51C WINTER HAVEN, FL 33880