Test – Listo Services

Person Filling Out This Form

Load Number

Dispatcher

Customer Name

Customer Rate

No $ and No Commas

Commodity, To and From City State, and Any Other Info To Be Listed On The Invoice

Caution, anything you put in this field will transfer to the invoice that the customer receives.

PO Number

Carrier Name

CRITICAL: Verify there is no Factoring Company

Factoring Company

if applicable

Carrier Rate

No $ and No Commas

Deductions or Notes

Express Pay

Submission Date

Confirmation Email