New Account Registration

Thank you for opening an account with eFREIGHT. Please enter all required information below (* denotes a required field). An eFREIGHT Account Representative may contact you if we require more information.

Your privacy is very important to us. The information you provide in this form will be sent via a secured connection. Please review our Privacy Policy for more information.

Company Information

Country*
Company*
Address 1*		Standard Address Format: <Address 1> <Address 2> <City>, <State> <Zip Code> UNITED STATES
Address 2
City*
State*
Zip Code*	#####-####
Telephone*
Fax
Shipments/Month		Average number of shipments each month

Billing Information

Same as above

Billing Contact*		Name or department
E-mail Address

Master Account User

The Master Account User should be someone in your company who will be responsible for managing the account and will be our main contact for account-related issues. Additional users may be added to the account once your account is approved.

First Name*
Last Name*
Job Title
E-mail Address*		Your e-mail address is also your Login ID.
Password*
Confirm Password*

Account Type

	Cash
	For payments with Visa®, Mastercard®, American Express®, Discover® cards, or PayPal®.
	Coming Soon - EFT (Electronic Funds Transfer) and eChecks (Electronic Checks)

	Credit
	We will check your company's credit history and notify you of your credit line. An eFREIGHT Account Representative may contact you if we require more information.

Acknowledgement

I have read and agree to eFREIGHT's Terms & Conditions.

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