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 *Mandatory Fields
Equipment Trader Registration-Profile
Use this form to register and manage your profiles.
 
Location
Title  *
First Name  *
Last Name  *
Trade Authority Level
Company Name  *   
Position-Job Title  *
Billing Address/Primary Location  *
Country  *
City  *
State/Province  *
Zip/Postal Code  *  Look Up 
3 Letter Airport Code   Look Up
Profile  * (Press Ctrl click to make multiple selections)
Indicate Your Trade Preference * Supplier                      Recipient
Trader Qualification * Professional Trader Casual Trader
 
Legal-Insurance
G/L Insurance Carrier Company/Agn.    -Phone   
Insurance Policy #/Liab. Limit    Upload Scan   
Insurance Policy Dates From    Click Here to Pick up the date Help To    Click Here to Pick up the date Help
Business License #/Phone    Upload Scan   
Federal I/D #    Upload Scan   
USDOT MC License #(Carrier)    Upload Scan   
Sales Tax Number(Reseller-Les)    Upload Scan   
DUNS#   
 
Contact Information
Land Line Phone Number  *(XXX)-XXX-XXXX x XXX
Fax Number:    (XXX)-XXX-XXXX
Primary Email Address  *This will be your Login ID 
Secondary Email Address
Cell/Mobile Phone Number    (XXX)-XXX-XXXX
Instant Messenger Address
Text Message Provider
Pager    (XXX)-XXX-XXXX
Web Site Address
Notes
 
Password Information
Preferred Password * Should be minimum 8 chars and max 10 chars which inclcudes a numeric
Re-type your Preferred Password * Please do not copy from above
Note: The login details will be emailed to the email address you have provided shortly after you submit this page, however,
               you will be able to access the site once our network administrator approves your registration. Thank you for your business with us.
I Agree with the Trader Agreement of the ContainerRental.com Network (Please click here to view Trader Agreement)

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