Broker/Transportation Clients

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Create Broker/Transportation Clients.
All fields in maroon are mandatory.
Note: the Other State field is only required for non-U.S. clients.
 
Name:
Code:
Website:
 
Main Address
Name: Phone:
Address 1: Fax:
Address 2: Toll Free:
City: E-mail:
State:    Zip:
Country:
Other State:
 
 
Different Billing Address
Attn: Phone:
Address 1: Fax:
Address 2: Toll Free:
City: E-mail:
State:    Zip:
Country:
Other State:
 
 

Contact Edit
 
 
First: Phone:   Ext: 
Last: Fax:
Address: Toll Free:
City: Email:
State: Zip:- IP Address
  Display On Client List


          IP Address Authentication
                Allows IP Address Authentication for extra security.

 
Mobile No. :     “A text message will be sent to your mobile phone with an activation code.”
   I don't have mobile
 
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Password: 
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