Create LTL Shipping Account

Please provide the following information so that Express Logistics can set up your account to begin shipping. (*) Denotes required field.

Who is your Express Logistics sales representative?*

Billing Contact Information

Company (full legal name of entity if incorporated) and fictitious name if applicable*

Federal EIN/Tax ID*

Contact*

First Last

Phone*

Email*

Address*

Street Address Address Line 2 City State ZIP Code

Shipping Contact Information

Contact*

First Last

Phone*

Email*

Note: All invoices will be emailed. If you require a paper invoice, please notify your sales representative.

Is the Shipping Location Different?

Address

Street Address Address Line 2 City State ZIP Code

Banking Information

Bank Name*

Bank Phone Number

Bank Address*

Street Address Address Line 2 City State ZIP Code

Person Authorizing the Account Must Fill Out the Following

Full Name*

Month Born*

Terms and Conditions*

I agree to the Terms and Conditions

By providing a telephone number and submitting the form you are consenting to be contacted by SMS text message. Message & data rates may apply. Reply STOP to opt out of further messaging.

Phone

This field is for validation purposes and should be left unchanged.

Create an Account

Billing Contact Information

Shipping Contact Information

Is the Shipping Location Different?

Banking Information

Person Authorizing the Account Must Fill Out the Following