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Use the form below if you have all credit information available and want the speediest processing of your rental application.

If you do not have all of your credit information available, you may use our short form, but this will take longer to process.

Fields with an asterisk * are required. The data on this form is encrypted and submitted on a secure server for your safety. If you need help or have any questions feel free to call us at 541-276-5012 or toll-free at 888-WOODPECKER (888-966-3732). Ask for Vicki (ext. 343) or Delwyn (ext. 375). Thanks for choosing Woodpecker Truck!

Online Rental Application

* Required field

Firm Name*
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Parent Company (if applicable)
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Contact Person*
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Email Address*
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Street Address*
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City*
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State*
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Zip*
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Phone*
Phone number is required, please submit in the form of 123-456-7890
Fax
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Provide EITHER the tax ID or SSN below.
Tax ID*
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Are you taxable?*
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SSN*
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Date of Birth*
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Billing Address*
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Billing City*
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State*
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Zip*
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Previous Address
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Previous City
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State
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Zip
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As applicable, list name(s) and address(es) of corporate officer(s), partner(s), etc.

Corp. Name 1
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Corp. Address 1
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Corp. City 1
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State
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Zip
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Corp. Name 2
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Corp. Address 2
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Corp. City 2
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State
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Zip
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Type of Business
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Years/Months in Business
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Trade References

Reference 1*
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Address 1*
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City 1*
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State*
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Zip*
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Phone 1*
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Reference 2*
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Address 2*
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City 2*
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State*
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Zip*
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Phone 2*
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Reference 3*
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Address 3*
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City 3*
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State*
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Zip*
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Phone 3*
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Commercial Insurance Agent*
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Phone*
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Types of Equipment

Farm Trucks
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Type of bed(s) needed
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Cab and Chassis Qty
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End Dump with Hoist Qty
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Flat Bed Qty
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Self-Unloading Qty
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Transmission Type
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How many?
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Dump Trucks
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Cubic Yards
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Water Trucks
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Gallons
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Fifth Wheel Tractors
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Trailers
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Approximate Time Frame

Start Date

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End Date

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Gross combined weight - Tonnage
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Material, product, or commodity to be hauled
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Hauling From
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Hauling To
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Special Requests, Notes, or Comments
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Terms and Conditions

Applicant must be at least 18 years of age. Applicant authorizes Woodpecker Truck to consult any creditors or other persons, whether listed on this application or not, and to receive from or give to them any information pertinent to the credit process. The Lessee agrees to pay such money as is actually spent by Woodpecker Truck for collection cost in the event of default of rental due; and in the case of suit or action instituted to collect the rental or any portion thereof, the undersigned Lessee promises to pay all costs of collection, including any reasonable attorney fees. Applicant understands that rentals are to be paid in advance and this does not constitute a request for extension of credit. Please contact our credit department directly at our Pendleton location if you wish to open an account for parts and/or service.

By pressing the submit button below I accept and understand the terms and conditions above.