Carrier Contract - Flash Bolt Logistics

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Home
Services
Industries
Quote
- Request A Quote – Full Truck Load
- Request A Quote – Less Than Truckload
About Us
- Our Mission
- FAQ’s
Contact Us

MC Number: DOT Number:

LET'S GET ALL THE CARRIER INFO

MC Number

USDOT Number

Company Name

Phone Number

Fax Number

Mailing Address

City

State

Zip Code

After Hours Emergency Phone

Email

Name of Owners

24/7 Dispatch Contact

Management Contact

Types of Equipment

Dry Vans (48" or 53") Reefers (53") Flatbeds (48" or 53") Power Only Stepdeck (48" or 53") RGN/Double Drop Conestoga Straight Truck (26") Hot Shot Other

Which Areas Do You Travel Often

Z0 - CT, ME, MA, NH, NJ, RI, VT Z1 - DE, NY, PA Z2 - MD, NC, SC, VA, WV Z3 - AL, FL, GA, MS, TN Z4 - IN, KY, MI, OH Z5 - IA, MN, MT, ND, SD, WI Z6 - IL, KS, MO, NE Z7 - AR, LA, OK, TX Z8 - AZ, CO, ID, NV, NM, UT, WY Z9 - CA, OR, WA, AK

Insurance Agent

Insurance Phone Number

Insurance Policy

Expiry Date

COI Requested

Reference 1 - Name

Reference 1 - Contact Number

Reference 1 - Email

Reference 2 - Name

Reference 2 - Contact Number

Reference 2 - Email

Reference 3 - Name

Reference 3 - Contact Number

Reference 3 - Email

Payment Method

Standard Pay (30 days) Quick Pay (1-3 days) Factoring

Quick Pay Options

ACH Direct Deposit Zelle Mail Check

ACH Account Number

ACH Routing Number

Direct Deposit Bank Name

Bank Account Number

Zelle Information

Mailing Address Same As Billing

Yes No

Mailing Address

Factoring Company Name

Quick Pay Agreement

Disclaimer: By agreeing to these terms, you acknowledge that payment releases may take up to 1-3 business days.
Additionally, you agree to a fee of 3% plus $10 for any payments processed through Quick Pay.

Submit required documents or email to fbl@flashboltlogistics.com

Please Upload COI Form

Please Upload W9 Form

Please Upload Authority Form

Please Upload Additional Files

Please Upload Voided Check

Agreement

Disclaimer: By selecting the checkbox, I affirm that I have read and agree to the Flash Bolt Logistics Carrier Agreement, Payments Terms of Service, and non-discrimination Policy, and acknowledge the Privacy Policy. Please ensure any changes to these documents are sent to carriers@flashboltlogistics.com.

Final Agreement

All invoices, Proof of Delivery (POD), and related documents must be submitted to finance@flashboltlogistics.com.

we will assist you 24/7

Quick Contact

Full Name

Email

Phone

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Head Office

P.O Box 3032,
Sugar Land TX 77487
832-807-4153
832-862-5139
FBL@flashboltlogistics.com

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Full Truck Load
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