Telephone: 800-524-2425
Fax: 503-684-4157
E-Mail carol@camastrans.com

Please take a moment to fill out the following credit application and include four (4) credit references. We prefer these references to be transportation-related. If you have any questions, please do not hesitate to call our credit department at the telephone number listed above.

Credit terms will be established based upon current credit rating and references. An interest charge of 1-1/2% may be charged on all unpaid balances in excess of established credit terms. Customer further agrees and understands that any unpaid freight charges placed with an attorney or collection agency will be assessed an additional charge of 33.33% of the unpaid balance including interest charges in accordance with Title 49 CFR Part 1320 or the U.S. Code.

We will invoice you at the mailing address you provide on the credit application. Camas Transport, Inc. would like to be sensitive to your billing requirements. Please select the billing option that best meets your company’s needs.

Bill us with an invoice only, we do not require bills of lading for payment.

Bill us with an invoice and copies of the bills of lading.

If these terms are agreeable, please complete the following form and e-mail or fax this credit application as soon as possible.

GENERAL INFORMATION

NAME (required)

COMPANY NAME (required)

STREET ADDRESS (required)

CITY (required)

STATE

ZIP CODE

SHIPPING ADDRESS (if different)

CITY (required)

STATE

ZIP CODE

PHONE (Required)

FAX

E-MAIL

A/P CONTACT

CONTROLLER
PRESIDENT/OWNER
DATE ESTABLISHED

TYPE OF ENTITY (Please check)

 Corporation Partnership
Sole Proprietorship

BANK INFORMATION

BANK NAME

CONTACT PERSON

TITLE

CITY

STATE

ZIP CODE

ACCOUNT NUMBER

TELEPHONE

LINE OF CREDIT

 Yes No

Approx. How Long With Bank

REFERENCES

Please provide the names of 4 transportation companies that we may call for credit references

COMPANY NAME

CONTACT PERSON
ADDRESS

CITY

STATE

ZIP CODE

TELEPHONE

FAX

E-MAIL ADDRESS

COMPANY NAME

CONTACT PERSON
ADDRESS

CITY

STATE

ZIP CODE

TELEPHONE

FAX

E-MAIL ADDRESS

COMPANY NAME

CONTACT PERSON
ADDRESS

CITY

STATE

ZIP CODE

TELEPHONE

FAX

E-MAIL ADDRESS

COMPANY NAME

CONTACT PERSON
ADDRESS

CITY

STATE

ZIP CODE

TELEPHONE

FAX

E-MAIL ADDRESS

CAMAS TRANSPORT, INC.
ICCMC# 164358
PO BOX 230999, TIGARD, OR 97281
503/684-3597 • 800/524-2425 • 503/684-0894 FAX