BulkBook

By typing your name below, you agree to the terms and conditions of this Broker-Carrier Agreement.

Please type exactly:

Full Name *

Tax ID Type *

EIN *

Federal Tax Classification *

Your name and address will be taken from your company information.

Doing Business As (DBA):

Under penalties of perjury, I certify that:

The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and
I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the IRS that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and
I am a U.S. citizen or other U.S. person.

I agree to the above certification

Electronic Signature *

Type your full legal name:

Payment Options

Please select your preferred payment method. We recommend ACH Transfer for faster processing.

ACH TransferRecommended

Direct bank transfer - Fast and secure

Factoring Company

Payment through your factoring company

Mailed Check Payment

Check will be mailed to your company address

Payment terms *

Account type *

Name on account *

Bank name *

Address on account same as Company address

Routing number *

Account number *

Payment notification email *

We will need an insurance certificate with us listed as certificate holder. The agreement also requires BulkBook as an additional insured:

Required Coverage:

CERTIFICATE MUST COME DIRECTLY FROM INSURANCE COMPANY.

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