OFFICIAL LOGISTICS INC.

OFFICIAL LOGISTICS INC.  

BROKER – CARRIER LOAD TENDER AND RATE CONFIRMATION  

Name of Carrier: Load Number:  Fax/Email: Date: Pickup Date:  Origin: Destination: Commodity & Weight:  

THIS LOAD IS TENDERED TO THE NAMED CARRIER BY OFFICIAL LOGISTICS INC., A  LICENSED PROPERTY BROKER, PURSUANT TO WRITTEN CONTRACTS, IF ANY, AND THE  BROKER/CARRIER TERMS AND CONDITIONS FOUND AT Insert Link TO WHICH CARRIER  AGREES. 

Shipment Information:  

Special Service Requirements:  

Communications and Invoicing Requirements:  

Send Freight Bills to: MUST INCLUDE THIS COPY OF  CONFIRMATION, P.O.D. AND INVOICE 

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AGREED RATE:  CARRIER SIGNATURE: