Call to Order: 800.933.3689 or Email us at:
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*
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)
Fax Number: 
Mailing Address*
Ordering Market(s):   Fresno
 Las Vegas
 Los Angeles
 Portland RFP
 San Diego
 San Francisco
 Seattle RFP
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?