DASH AUTO LOGISTICS Personal Guarantee Agreement Please fill out the information requested below, which includes agreeing to the DASH Personal Guarantee and providing Credit Card Authorization. Contact InformationCarrier's Legal Business Name(Required) Your Name(Required) First Last Your Title(Required) Email(Required) Phone(Required)Fax AgreementPersonal Guarantee Agreement(Required) I have read and agree the following:PERSONAL GUARANTEEThis Agreement is entered on today's date by and between DASH AUTO LOGISTICS, LLC (“hereinafter known as DASH”) and your company (hereinafter known as CARRIER”); WHEREAS, DASH is in the business of brokering the transportation of automobiles; and WHEREAS, CARRIER is desirous of doing business with DASH in the transportation of vehicles from their origin to their destination; and WHEREAS, CARRIER is insured, but has a deductible of more than Two Thousand Five Hundred ($2,500.00) Dollars; and WHEREAS, to ensure that in the event of any damage for which CARRIER is Responsible for more than their deductible; and WHEREAS, to ensure that in the event of any damage for which CARRIER is responsible that CARRIER is able to pay foresaid damage in the event they are responsible for more than their deductible; and WHEREAS, CARRIER agrees to guarantee, promise and commit to paying the portion over their deductible in the event the damages exceed their deductible; and WHEREAS, as a result of that guarantee, CARRIER is willing to provide its credit card to DASH to be used only in the circumstance where CARRIER does not pay the funds in excess of their deductible. NOW, THEREFORE, IT IS AGREED that CARRIER does hereby guarantee, promise and commits to paying its deductible and any amount they are responsible for over said deductible and further in consideration for doing business with DASH, CARRIER agrees to provide a credit card to DASH to be used only in the event CARRIER does not pay its portion of damages for any claim. THE PARTIES FURTHER AGREE, that DASH will only use such credit card in the event CARRIER does not pay the portion over its deductible for which it’s responsible. IT IS FURTHER AGREED, there should be no liability on the part of DASH if it uses the credit card for that limited purpose. THE PARTIES AGREE, that in the event of any dispute, jurisdiction shall be in Oakland County, State of Michigan, and this Agreement shall be governed by the Laws of the State of Michigan. IN WITNESS WHEREOF, WE HAVE EXECUTED THIS by our hand and seal on this today's date. Credit Card AuthorizationCardholder Name As Shown On Card(Required) Company Name (If Applicable) Credit Card Number(Required) Credit Card Type(Required) Master Card Visa Discover AMEX Expiration Date(Required) CVV Security Code(Required) Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contact Person's Full Name (If Different from Card Holder) First Last SignatureElectronic Signature Legal Consent(Required) I agree to the terms and conditions.Consumer Disclosure Regarding Conducting Business Electronically, Signing Documents Electronically, and Receiving Electronic Notices and Disclosures Please read the information below, carefully, as it concerns your rights. eSignatures are an efficient way to execute an agreement with the same legal force and effect of a handwritten or “wet ink” signature. By signing this document you are agreeing that you have reviewed this Consumer Disclosure and consent and intend to transact business electronically; to use electronic signatures instead of wet ink signatures and paper documents, and to receive notices and disclosures electronically. You are not required to sign documents electronically or to receive notices and disclosures electronically. If you prefer not to transact business electronically, you may request paper copies from the “sending party” and withdraw your consent at any time, as described below. Scope of Consent By utilizing this Service, you agree to receive electronic signature documents with all related and identified documents, notices, and disclosures provided during your relationship with the “sending party.” You may withdraw your consent, at any time, by following the procedures outlined below. Paper Copies You are not required to sign documents electronically, or receive notices or disclosures electronically, and may request paper copies of documents or disclosures, if you prefer. You also have the ability to download and print any signed or unsigned documents sent to you through the electronic signature service. We may also email you a copy of all documents you sign using the electronic signature service. If you wish to receive paper copies instead of electronic documents you may close this web browser and request paper copies from the “sending party” by following the procedures outlined below. The “sending party” may apply a charge for additional expenses incurred by printing and mailing paper copies. Withdrawal of Consent You may withdraw your consent to receive electronic documents, notices or disclosures at any time. In order to withdraw consent you must notify the “sending party” that you wish to withdraw your consent to transact business electronically and to provide your future documents, notices, and disclosures in paper format. If at any time, after withdrawing your consent you choose to use our electronic signature system your use of this Service will, once again, evidence your consent to receive documents, notices, and disclosures, electronically. You may withdraw your consent to receive electronic notices and disclosures or execute an electronic signature by following the procedures described below. Withdrawing your consent, requesting a paper copy, or updating your contact information You always have the ability to download and print any documents sent to you through our electronic signature system. To withdraw your consent to conduct business electronically, sign documents electronically, and receive documents, notices, or disclosures electronically, please contact the “sending party” directly; by telephone, by email (sent to the “sending party” with any of the topics outlined below stated in the subject line of your email) or by postal mail to their mailing address specified to receive such notices. “Withdrawal of Consent To Transact Business Electronically” To allow the “sending party” to identify and facilitate your withdrawal of consent to transact business electronically, please provide your name, email address, the date on which you are withdrawing your consent, your telephone number and mailing address. “Requesting A Paper Copy” To allow the “sending party” to identify you to provide a paper copy of the document requiring your signature, the notice, or disclosure, please provide the sending party with your name, email address, mailing address, telephone number, and name of the document of which you are requesting a paper copy . “Update Your Contact Information” To allow the “sending party” to identify you in order to update your contact information, please provide them with your name, email address, mailing address, and telephone number. The “sending party” will inform you of any fees related to costs for printing and mailing paper copies or your withdrawal consent to transact business electronically.Agreement Signer's Name(Required) First Name Last Name Signature(Required)Signature Date(Required) MM slash DD slash YYYY Would You Like to Receive a Copy of this Agreement?(Required) Yes No HiddenURL
