Call to Order: 800.933.3689 or Email us at: orders@efrental.com
Customer Information

Please complete the form below. When you have completed the page, please click the Submit button.

Fields marked with an * are required.

Desired Username*: 
Password*: 
Confirm Password*: 
Type of Client*: 
(If you are renting housewares or furniture  
for personal use, please select "Individual")  
Please enter the type of client:
Name of Company or Apartment Community*: 
Internal Company Name: 
Name of Contact*: 
E-Mail Address*: 
Confirm E-Mail Address*: 
Telephone Number*:   (including area code)
Extension: 
Fax Number: 
Mailing Address*: 
City*: 
State*: 
Zip*: 
Ordering Market(s):   Fresno
 Los Angeles
 LTL
 Phoenix
 Portland
 Portland RFP
 Reno
 Sacramento
 San Diego
 San Francisco
 Seattle
 Seattle RFP
 Tucson
 Unassigned
 Other
How will you be paying?*: 
Is there anything else you would like us to know?
Do you have any questions?
How did you find out about Express Furniture Rental?
External order notification recipients?