Free Rate Confirmation Sheet Template

Rate Confirmation Sheet

Date: February 1, 2050 | Reference ID: #2050-TX-1003

Contact Information	Client Information
Service Provider: [YOUR COMPANY NAME] Contact Name: [YOUR NAME] Phone Number: [YOUR COMPANY NUMBER] Email: [YOUR EMAIL] Address: [YOUR COMPANY ADDRESS]	Client Name: TechEssa Contact Name: Johan Green Phone Number: 222 555 7777 Email: johan@you.mail Address: Little Rock, AR 72201

Service Details

Service Description	Rate Type	Quantity	Total Cost
Freight Transport - TX to CA	Per Mile	1,500 Miles	$2,250.00
Load Weight Adjustment	Per Ton	5 Tons	$500.00
Fuel Surcharge	Flat Fee	1	$150.00
Additional Handling Charge	Per Load	1	$100.00
Total Payment Due	-	-	$3,000.00

Payment Terms: Payment due within 30 days of service completion.

Service Date: February 10, 2050
Estimated Delivery Date: February 12, 2050

Please review the rates and details. For any questions or adjustments, contact [YOUR NAME] at [YOUR EMAIL] or [YOUR COMPANY NUMBER]. To confirm acceptance, please sign and return a copy of this Rate Confirmation Sheet.