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^‡Require TruckLine SCAC

Contact Info:

First Name *

Last Name *

Email *

Day Phone *^†

Ext. No.

Mobile ^†

^†Phone and mobile number should be 1 + area + number without hyphens or spaces. For example, 18001234567

Country *

Address *

City *

State/Province *

Zip/Postal Code *

Company Info:

Nature of company's business *

Truck Line SCAC *

Company Name *

Business Type	Description
Broker	If your company provides customs brokering, then you should select this.
Freight Forwarder	If your company provides forwarding and/or warehousing, then you should select this.
Shipper	If your company imports/exports goods to be sold under your own brand name, then you should select this.
Trucking Company	If your company hauls containers to/from the terminal, then you should select this.
Shipping Line/SSCO	If you work directly for a line, then you should select this.
Agency	If you work for a company that represents one or more steamship lines or your company can be both the shipper and consignee of import cargo owned by someone else, then you should select this.
Consignee	If your company is the consignee or receiver of cargo as proven by export documentation, then you should select this.

License Plate *

Rf Id / Tag Number 1

VIN *

State

Description *

Make *

Model

Tare Weight *

Driver Name

Mobile Phone

Mobile Carrier

Contact Type

Password

Password length must be in the range of 8 to 25 characters (including alpha-numeric and @#$%*()_+^!&). Passwords are case-sensitive.

Web Site Password *

Confirm Web Site Password *

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