SHIPPER INFORMATION

NAME (required)

COMPANY (required)

PHONE (required)

FAX

URL (web site)

EMAIL

MAILING ADDRESS (required)

CITY (required)

STATE/PROVINCE (required)

ZIP

COUNTRY

LOAD INFORMATION:

Commodity

Cargo Value $

Net Weight

Equipment Type

Load Length
Load Width

For over dimensional or hazardous quotes, please call our office directly.

TARP

YES NO

LTL

YES NO
SPECIAL INSTRUCTIONS
ALL RATES QUOTED ON A PER MILE BASIS UNLESS OTHERWISE REQUESTED.

LOAD ORIGIN:

STATE

CITY

COUNTRY

ZIP CODE

ADDITIONAL PICKUP:

STATE

CITY

ZIP CODE

LOAD DESTINATION:

STATE

CITY

COUNTRY

ZIP CODE

ADDITIONAL DROP:

STATE

CITY

ZIP CODE

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