New Account Request

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* Indicates required field

Account Information

Choose One *

Primary Account Sub Account

If Sub Account - Name of Primary *

Shipping Location

Company Name *

TMS System *

Connect CSA Both

Billing Information

Company Name *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Contact Name *

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Contact Name *

Phone Number *

Email *

Create as Default Shipper? *

Yes No

Invoice Method *

Email Print

Back Up Required? *

BOL DR Both BOL & DR None

Pricing Model / Credit Info

Duns Number *

Gainshare Margin *

Exclude Carriers? *

Requested Credit Limit *

Requested Payment Terms (Days) *

Portal Users

Name *

First

Last

Email *

Phone Number *

Choose Any That Apply *

Shipment Entry/Quotes Only Quotes Only Tracking Only View Invoice View and Pay Invoices

Name *

First

Last

Email *

Phone Number *

Choose Any That Apply *

Shipment Entry/Quotes Quotes Only Tracking Only View Invoices View and Pay Invoices

Submit

Home
About
- Contact
Services
Quote Request
- Domestic Quote
- International Quote >
  - Incoterm Definitions
Documents
WebTrak Login
WebTrak Tracking
Careers