Carrier Contract
Rate Confirmation Form

Company Name*
Name*
First Last
Email*
Phone*
MC Number*
DOT Number*
Do you currently Contract with GoodSpeed Logistics?*
- Yes
- No
Do you meet the below requirements to contract with GoodSpeed Logistics?
I have been in business as a carrier for at least 3 months*
- Yes
- No
I have a cargo insurance with coverage of at least $100,000*
- Yes
- No
I have an auto insurance with coverage of at least $1,000,000*
- Yes
- No
Do you factor?*
- Yes
- No
Upload Notice of Assignment form*
Drop files here or
What best describes you?*
- Owner Operator
- Owner
- Dispatcher
- Driver
Do you have brokerage authority?*
- Yes
- No
Do you understand you cannot double broker GoodSpeed Logistics loads?*
- Yes
- No
# of power units in fleet*
# and type of trailers
Reefers #
Dry vans #
Flat beds #
Other: describe and number
Preferred lanes*
How did you hear about GoodSpeed Logistics?*
- Email
- Website
Upload documents*
Upload your Carrier Packet including insurance certificate, FMCSA MC and DOT Certificate, W-9 Form, remit address for payment.
Drop files here or
*
I agree to the terms and conditions.*
Terms and conditions click here
After clicking on the line in red: ‘Terms and Conditions click here’, and submitting the required information, a Rate Confirmation will be emailed to you to sign and return.
Signature*
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Carrier ContractRate Confirmation Form