Dispatch Agreement Form
Dispatch Agreement Form
Please fill out this form completely to formalize your agreement for dispatch services.
Carrier Information
Company Name
Contact Person
Address
Phone number
Dispatch Services Details
Type of Services Requested
Specific Requirements
Payment Terms and Schedule
Agreed Percentage/Flat Fee
Payment Frequency
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Upon Delivery
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Weekly
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Monthly
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Annually
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Payment Method
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Direct Deposit
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Wire Transfer
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Cash
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Mobile Payment
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PayPal
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Additional Conditions
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Payments received more than 14 days late will incur a 5% fee.
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Invoices must be submitted within 30 days of service completion for payment eligibility.
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Payment disputes must be raised within 15 days of invoice submission for review.
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Payment confirmation will be sent within 3 business days of processing.
Authorization and Signatures
I agree to the terms outlined above and authorize the dispatch services as specified.
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Carrier Name: Date: |
Dispatcher Name: Date: |
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