DASH AUTO LOGISTICS Private Vehicle Move Agreement order vehicle transport for private vehicles HERE Please fill out the following Private Vehicle Move Agreement and Credit Card Authorization Forms. Pickup InformationBusiness Name for Pickup (If Applicable) Number of Vehicles(Required) One Vehicle Two Vehicles Three Vehicles Vehicle/s purchased from a dealer?(Required) Yes No Has the seller received funds and paperwork for this unit(s)?(Required) Yes No Pickup Contact Person(Required) First Last Pickup Address(Required) Street Address City State ZIP Pickup Contact Phone(Required)Pickup Contact Email(Required) Earliest Pickup Date(Required)Select the earliest date the unit(s) will be available. MM slash DD slash YYYY Latest Pickup Date(Required)Select the latest date the unit(s) can be picked up. MM slash DD slash YYYY Special Pickup Instructions for the Driver (Optional) Delivery InformationName of Business for Delivery (If Applicable) Delivery Contact Person(Required) First Last Delivery Address(Required) Street Address City State ZIP Delivery Contact Phone(Required)Delivery Contact Email(Required) Earliest Delivery Date(Required)Select the earliest date the unit(s) can be delivered. MM slash DD slash YYYY Latest Delivery Date(Required)Select the latest date the unit(s) can be delivered. MM slash DD slash YYYY Special Delivery Instructions for the Driver (Optional) Vehicle InformationFull VIN Number(Required) Year(Required) Make(Required) Model(Required) Does the unit have a ladder or luggage rack?(Required) Yes No Does the vehicle run, have working brakes and steering?(Required) Yes No Any aftermarket modifications?(Required) Yes No Describe Aftermarket Modifications(Required) Vehicle #2 InformationFull VIN Number(Required) Year(Required) Make(Required) Model(Required) Does the unit have a ladder or luggage rack?(Required) Yes No Does the vehicle run, have working brakes and steering?(Required) Yes No Any aftermarket modifications?(Required) Yes No Describe Aftermarket Modifications(Required) Vehicle #3 InformationFull VIN Number(Required) Year(Required) Make(Required) Model(Required) Does the unit have a ladder or luggage rack?(Required) Yes No Does the vehicle run, have working brakes and steering?(Required) Yes No Any aftermarket modifications?(Required) Yes No Describe Aftermarket Modifications(Required) Agreements & Legal ConsentExpectations and Additional Information(Required) I have read and agree the following:EXPECTATIONS AND ADDITIONAL INFORMATION Pickup Schedule: Please communicate with your DASH Auto Logistics representative regarding availability and expectations for pickup. Please understand that while we strive to meet your expectations, unforeseen issues can and do arise in logistics. Driver's schedule, mechanical issues, weather, and road conditions can play a part in the pickup. We will contact you if any delays do arise. Delivery Schedule:Please communicate with your DASH Auto Logistics representative regarding availability and expectations for delivery. Please understand that while we strive to meet your expectations, unforeseen issues can and do arise in logistics. Driver's schedule, mechanical issues, weather, and road conditions can play a part in delivery. We will contact you if any delays do arise. There may be a situation where the vehicle will arrive at the destination prior to you arriving home. In this case, we would need a contact along with the phone number of a trusted party, of age, to sign for the unit. Insurance: DASH Auto Logistics, contracted and trusted carriers carry full insurance while loading, unloading and during transport. We do not cover windshield or body damage caused by standard road wear, uncontrollable debris, and weather conditions. Pre-sale inspection reports are required in the event of damage claims. Important: the vehicle should also be insured through your own insurance agency. Inspection: The driver will do an inspection at the time of pickup with yourself or a designated adult, and then again at the time of delivery. If you require a copy of the signed BOL, please contact your account representative at DASH for a copy. ANY DAMAGES NOTICED MUST BE CLEARLY LISTED ON THE BILL OF LADING BEFORE SIGNING. This is your receipt that the vehicle was delivered to you in the condition stated on the inspection report. Failure to do so will result in a loss of claim. Please see the SHIPPING & RECEIVING INSTRUCTIONS page below for detailed instructions on the bill of lading process.Shipping & Receiving Instructions(Required) I have read and agree the following:SHIPPING & RECEIVING INSTRUCTIONSDASH Auto Logistics takes initiative-taking measures to ensure that accidents do not happen. But in the world of planning, they can and do occur. Please take a moment to review the valuable information below and distribute to your team, as an educational piece that will prove to be invaluable. Please remember never to pay the driver directly. DASH will process payment at time of loading. An explanation of the bill of lading (BOL) process:A BOL is a contractual agreement between DASH Auto Logistics, you, and the driver. It serves as a protective document for you. If properly done, the BOL will outline the condition of the unit(s) at time of pick up, and at the time of delivery. In the event of claimed damages, this valuable document will serve as evidence of where responsibility falls. If a BOL is singed as received in good condition, damage claims cannot be processed. This means the transportation costs and repairs will remain your responsibility. It is highly recommended that you carry insurance coverage on any unit(s) being transported to mitigate any claims that may occur. Shipping:Prior to loading, the drivers will do a physical inspection with you, or the appointed person on all units being transported. Any pre-existing damage must be noted in detail on the BOL before signing and printing your name. The driver will take photographs of each unit; all four sides while including the top. It is highly recommended that you do the same. If the pickup location requires a copy of the bill of lading, please contact your account manager at DASH. Receiving:Once the driver unloads the vehicle(s) at the time of delivery, they are mandated to do a physical inspection with you, or the appointed person on all units being delivered. It is important to do a detailed inspection of the unit(s). Road grime is common during transport, so please take your time and demand that any damage found is noted on the BOL before signing and printing your name. DO NOT SIGN ANY BILL OF LADING UNTIL YOU ARE SATISFIED. DOING SO RELEASES THE DRIVER AND DASH HARMLESS OF ANY AND ALL CLAIMS. Drivers are instructed to take photographs of each unit; all four sides including the top. It is highly recommended that you do the same. If the delivery location requires a copy of the bill of lading, please contact your account manager at DASH. At any point you may have questions during this process, please contact your account representative for assistance.Payment Agreement(Required) I have read and agree the following:PAYMENT AGREEMENTI agree to pay DASH Auto Logistics the amount due for the transport at time of order, using the payment method indicated in the following DASH Auto Logistics Credit Card Authorization Form. The transaction will be from PB&J Transport, our parent company, on your credit card statement. I understand and agree that a 3% processing fee will be added to the final cost of the charge. DRIVERS ARE NEVER TO BE PAID DIRECTLY. Tips are welcomed, but not expected. If you have any questions pertaining to an invoice or payment, contact our accounts receivable department at ar@dashautologistics.com. Changes of pick up or delivery address may be subject to change. You are able to cancel services within 48 hours of scheduled pick up. If services are cancelled after the 48-hour cut off, a cancellation fee of $150.00 will be applied to the credit card on file. Credit Card AuthorizationDASH Auto Logistics requires all orders to be secured with a credit card authorization form. Payment will be processed at the time that the unit(s) are loaded, and verification has been received that the load is on route. I understand and agree that a 3% processing fee will be added to the final cost of the charge. DRIVERS ARE NEVER TO BE PAID DIRECTLY. Tips are welcomed, but not expected. If you have any questions pertaining to an invoice or payment, contact our accounts receivable department at ar@dashautologistics.com. The transaction will be from PB&J Transport, our parent company, on credit card statement.If you need to cancel this order, please provide written notice, no later than 48 hours before your scheduled pickup date to avoid a late cancellation fee of $150.00.Credit Card Authorization Terms and Conditions(Required) I have read and agree the following:CREDIT CARD AUTHORIZATION TERMS AND CONDITIONS1. Only one credit card number may be billed per account transaction. 2. All charges billable to the account designated below will be billed to the designated credit card. 3. Changes to billing and credit card information will only be accepted from the authorizing person indicated below. 4. Any charges confirmed by the carrier due to re-weighs, re-classification, or accessories will be charged to the credit card on file. 5. If other payment terms are chosen and payment is not made, all charges will be applied to the credit card below. 6. PLEASE NOTE - Transaction will be from PB&J Transport, our parent company, on credit card statement. Credit Card InformationCardholder 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 Contact Person's Email(Required) Contact Person's Phone(Required) 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 Email Address to Send Agreement Copy(Required) HiddenURL
