New Carrier Registration

Company Information

Company

Address1

Address2

City

State

Zip

Billing Information

Click to Copy from above

Billing Company

Billing Address1

Billing Address2

Billing City

Billing State

Billing Zip

Pay by Invoice
Credit Card

Billing Frequency

Credit Card Type

Credit Card Number

Credit Card CVV Code

Card Expiration (MM/YYYY)-

Name On Card

Card Billing Address1

Card Billing Address2

Credit Card City

Credit Card State

Credit Card Zip

Contact Information

Contact Firstname

Contact Lastname

Phone

Fax

Toll Free

Mobile

Primary Email

Password

Re-enter your password

Receive E-mail notifications (applies to all addresses on account)

Additional Notification E-mails

Carrier Information

MC Number

Fid Number

Intrastate Number

Contract Authority

Common Authority

Intrastate Authority

Hazmat Authority

Choose the Equipment you have available. (Use CTRL-click for multiples)
	Quantity:

Insurance Information

Ins Company

Ins Contact

Ins Phone

Liability Ins Amount

Liability Expires--

Cargo Ins Amount

Cargo Ins Expires--

Other Ins Amount

Other Ins Expires--

Supporting Documentation

We will require fax copies of paperwork evidencing W9, carrier authority, and insurance coverage prior to activating your account. Please fax to 360-588-3279 attention "New Registration"

Registering as a Carrier to use the ShippersPoint load connections service, Carrier agrees that no loads accepted from Registered Shippers through the site will be brokered to any other trucking company, and all loads accepted from Shippers through this load connection site will be transported on company owned or permanently leased trucks. Fees to use the web site are $25.00 per month charged to your debit or credit card in three month increments $75.00. By submitting this registration Carrier agrees to a three month subscription to use this site for direct connections to member shippers. Shippers Point, LLC will debit your credit card used for registration for the three month registration period and will automatically deduct at the end of each three month subscription for the next three month subscription unless carrier cancels service by e-mail to customer-service@shipperspoint.com  For your security all credit or debit card information is encrypted and no one but Shippers Point will be able to view your credit card information.  If you check the "Receive E-mail notifications" box, you will receive E-mail from ShippersPoint to notify you of new loads.  If you no longer wish to receive these notifications, you can contact ShippersPoint via email or phone, or follow instructions included in each E-mail notification.

I have Read and accept Terms of use and service.

Name of person registering

Flatbed
Car Carrier
Conestoga Flat
Curtain Van
Double Drop
Flatbed w/ Tarps
Flatbed Air Ride
Flatbed with Sides
Hot Shot
Lowboy
Maxi Fb
Reefer
Reefer w/ Plant Decking
RGN
Step Deck
Step w/ Tarps
Stretch FB Trailer
Van
Vented Van
28 foot double flats
Flatbed or StepDeck
Flatbed w/ boom crane
flatbed w/ spiderforklift
53'X102 Van or Reefer
Air Ride Van
Flatbed or Van
Flat w/tarp or curtian Van
maxie,truck and pup
Maxi FB w/tarps