For your convenience, you may place an account with us on-line by filling out and submitting the following form. After submission, you will receive a call from us to confirm the placement information within 24 hours. If the placement is submitted over the weekend or during a holiday, we will contact you the next business day.
You may also call us to place an account at (503) 922-2441.
Should you wish to fax us a placement, click on the Faxable Form button below, which will access an Adobe Acrobat PDF form that you can fill out, and fax it to us at (503) 922-0750