Freight4Us Account Application

To use Freight4Us.com you MUST submitt a valid credit card that will be billed each month automatically.

Freight4Us does not offer a free trial or refunds for unused time. When you sign up, your credit card will be billed $35.00 when your account is activated and every month until you notify us otherwise. You will not be required to sign any contracts but will have to accept the Terms and Conditions of Use policy for the service before you will be granted access.

Please fill out the application form below to start the application process. All applications are reviewed before they are activated for use. Until your application is reviewed and your account number is assigned, you can use the demo version of this site by entering "Freight4Us" as the username and "Demo" as the password.

* REQUIRED INFORMATION

Application Form

* Company Name:

* Billing Address:

* City:

* State:

* Zip/Postal Code:

Country:

* Local Phone:

Mobile Number:

800/Wats Number:

Fax Number:

* E-Mail Address:

Number of Trucks in your Company:

Short Description of your Business:
(Please include the kind of Trailers you pull)

* Password for the Account:

Dispatcher Names:

Dispatch Phone: 999-999-9999

ICC# or MC#:

* DOT#:

Person Responsible for Payment:

Person Using Account:

* Person Applying for Account:

First Name

Last Name

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