Broker Registration – FreightForge

Please complete the following form to register your brokerage with FreightForge:

* indicates required field

Company Information:
Company Name*
Street Address*
Address 2
City*
State / Province*
Zip*
Country*
MC Number:*
Broker Contact Information:
Broker Contact Name*
First Last
Broker Telephone Number:*
Broker Contact Email*
Enter Email Confirm Email
Other Broker Contacts:
First Name Last Name Email Confirm Email
(To add additional Lanes, click on the "+" symbol)
Upload Your Broker Credentials:
Required*
Drop files here or
Please upload a copy of your Broker Credentials . This packet should include the following: Insurance; Certificate of Federal Operating Authority; Surety Bond
Pricing:
Broker Load Dashboard Monthly Fee
Price: $9.95
(30-day trial period, then $9.95 each month)
Total
$0.00
Terms of Use*
- I agree to the Terms of Use
Payment Information:
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name

First Name	Last Name	Email	Confirm Email