New Customer Onboarding for Highway Transport

New Customer Registration

Welcome! Start the partnership process by filling out the form below. Once you’ve submitted your information, we’ll get you set up with a secure account.

Business Contact Information

First Name*

Last Name*

Title*

Company*

Email* Phone* Registered Company Address* Country Street

City*

State/Province*

Zip* Website

Date Business Commenced*

Business Entity Type

How Did You Learn About Us?

Business & Trade References

Reference 1

Company Name

Phone Company Address Country Street

City

State/Province

Zip Code Website Type of Account

Reference 2

Company Name

Phone Company Address Country Street

City

State/Province

Zip Code Website Type of Account Products Interest:

Chemicals

Logistics

Tank Wash

Food Grade

Power Only

Expedited/Critical

Agreement

All invoices are to be paid 30 days from the date of the invoice.
By submitting this application, you authorize Highway Transportation to make inquiries into the banking and business/trade references that you have supplied.