Charge Account Application

We would like to take this opportunity to THANK YOU for choosing Cam Jo, Inc. for your transportation needs and let you know what we require in order to set up a charge account. First, understand that this is a contract between Cam Jo, Inc. and your company. Cam Jo, Inc. is not contracting with the passenger and your organization is responsible for payment of services rendered. Second, it is your responsibility to notify Cam Jo, Inc. immediately when you wish to change authorization. If Cam Jo, Inc. is not notified of these changes and transportation is provided your organization is once again responsible for full payment of services rendered. Thank you once again for choosing Cam Jo, Inc. , we greatly appreciate your business. Please fill in all blanks below. Allow about a week for us to process your application.

Please complete this form, print it, sign it and fax or mail it to us.

Name of Company: Applicant's Name: Applicant's Title: Applicant's Phone Number (please include your area code) - Applicant's Fax Number (please include your area code) - Type of Business: How long in business: Billing Address or Post Office Box City State Zip

To protect you from fraudulent use of this account, please list up to 10 people
who are authorized to call and charge for service.

I understand that the information furnished you on this application is for the purpose of obtaining credit from Cam Jo. I am authorized in my capacity to commit my firm accordingly.