MD Dispatching Services
DISPATCHER is a transportation dispatcher handling the necessary paperwork between SHIPPERS and/or BROKERS and the CARRIER in order to secure “Freight” for said CARRIER.
CARRIER is a Motor CONTRACT Carrier subject to the jurisdiction of the ICC: NOW, THEREFORE, in consideration of the promises and covenants hereinafter contained it is mutually agreed by and between the parties hereto as follows:
We will also need the following from your company to start working for you:
Instructions: Please complete this form giving us all the information that pertains to you and your company. The better informed we are, the better we will be able to assist you. This form can be updated at any time by notifying us. This information is for our use only and will not be released to any third party without your express written permission.
For more than one truck use the multiple truck 48’ VAN/Reefer:
53’ VAN/Reefer:
FLATBED/STEPDECK/HOTSHOT Trailer Length:
AIR RIDE:
Truck/ Trailer Number:
Max Load Weight:
COMMENTS: If you use a factoring service, please provide us with the following information. This will ensure that we only use brokers that are approved by your factoring company. FACTORING COMPANY Name: (N/A will have one by the end of this week)
CONTACT
PHONE:
FAX:
WEBSITE:
US BILLING ADDRESS:
US CITY:
US STATE:
US ZIP Code:
WEB PORTAL USERNAME:
PASSWORD:
I Hereby authorize SECURE DISPATCHING SERVICES LLC to charge my stated credit card / debit card for the stated order number and amount Quote # Dispatching
Quote Amount:
BILL TO: Card holder's name:
Quote amount is based upon information provided by customer. Customer agrees to the quote. and authorizes SECURE DISPATCHING SERVICES LLC to charge credit card below to cover any additional charges incurred by 3rd party as a result of information provided by customer deemed to be inaccurate. If the credit card is declined, the shipment can be stopped. Card Type