CONTRACT TO TRANSPORT VEHICLE
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I/We _________________________________ of
___________________________ _______________________ ___________ __________
Address City State Zip
Hereby contract with CW Howard Transport Services, Inc. for the transporting of the below
referenced vehicle(s):
___________________________________________________________________________
Provide: Year, Make, Model, Condition (Operable or Inoperable)
To be transported no later than: ________________________________________________
Date(s)
FROM (pickup location): TO (destination location):
_____________________________________ ____________________________________
Residence/facility Residence/facility
_____________________________________ ____________________________________
Street Street
_____________________________________ ____________________________________
City City
_____________________________________ ____________________________________
State Zip* State Zip*
*must include zip code for accuracy
Please use the space provided below to list any special instructions or details for the
transporting of your vehicle(s):
___________________________________________________________________________
___________________________________________________________________________
A deposit of $100.00 is required to reserve your vehicles space on a carrier:
Please mail a money order, cashiers check, or personal check to:
CW Howard Transport Services, Inc.
PO Box 2194
Largo, FL 33779
Phone: 727-446-7686
This becomes a legal binding contract between the customer and the shipper once all
parties have signed in agreement to the conditions stated herewith.
Please be aware: Termination of this contract could result in a $50.00 processing fee if cancelled up to 24
hours in advance of pickup. If cancellation of transport is within the 24 hour period of pickup, the deposit
of $100.00 is non-refundable. Also if paying by credit card, a 5% transaction fee will be added to your bill.
____________________________________ ___________________________________
Name of Customer Name of Transportor/Shipper
____________________________________ ___________________________________
Print name Print name
____________________________________ ___________________________________
Date Date