Carrier Rate - Elite Anywhere Corp.

BROKER-CARRIER LOAD TENDER AND RATE CONFIRMATION

Name of Carrier:

Load Number:

Date:

Pickup Date:

Origin

Destination

Commodity & Weight:

Shipment Information:

0 /

Special Services Requirement:more details

0 /

Communications

Send Freight Bill ToNote: Please use load# as your invoice reference

Agreed Rate:

Carrier Signature:

(Sign Here)

Clear Signature

Shippers Signature:

By clicking this box, I agreed that this load is tendered to the named Carrier by Elite Anywhere Corp.MC-972987. A licensed Property Broker, pursuant to written signed contracts, if any, and the other Broker/Carrier Terms and Conditions found at www.eliteanywhere.com to which Carrier expressly agree.