Online Allied Industry Membership Application

Printable Allied Membership Application - Adobe Acrobat PDF Format:

Company Information
Company		Phone
Name		800#
Title		FAX
Address		E-mail
Address		URL
City
State
Zip

Product/Services Information Please check your company’s products/services from the list below (check all that apply):
Accident Investigation	Accounting/Bookkeeping	Adhesives/Sealers
Advertising	Air Compressors/Control Devices	Aligning/Balancing
Apparel/Uniforms	Anti-Theft Devices	Auctioneers
Blowers	Batteries	Brakes/Clutches
Cargo Control Equipment	Claims Service	Communications
Computer Hardware	Computer Software	Concrete Repair
Credit Check	Diesel Sales	Diesel Training
Discharge Equipment	Doors/Overhead/Roll-Up	Drive Shaft Service
Driver History Information	Driver Leasing	Driver Recruitment
Driver Training	Drug/Alcohol Testing	Electrical Parts Service
Emergency Disaster Response	Engine Sales/Analysis	Engine Manufacturers
Environmental Services	Fifth Wheels	Finance/Banking
Financial Management	Forms	Fuel Control Service
Fuel Tax Information	Fuels/Lubricants/Additives	Gasoline/Oil
General Services	Government Agency	Hazardous Material Signs
Heating Equipment	Insurance	Legal Services
Leasing	Licensing Information	Logistics
Lubrication Equipment	Materials Handling Equipment	Mirrors
Mufflers	Oil Products	Oil Seals
Owner Operator Recruiting	Parts Supplies	Pain & Body Shop
Power Train Equipment	Printing Companies	Promotional Products
Publications	Public Relations	RadiStation
Real Estate	Refrigeration Equipment	Registration Information
Retreading	Risk Management	Safety Equipment
Safety Services	Seat Manufacturer	Security
Signs/Decals	Sleeper Boxes	Specialty Items
Speedometers/Gauges/Warning Devices	Spring Service	Suspension Components
Tachographs	Tank Trailers	Tarpaulins
Telecommunications	Tires	Tire Supplies
Towing Service	Trade Publication	Trailer Manufacturers
Trailer Rentals	Trailer Sales	Trailer Service
Transmission Service	Transportation Broker	Transportation Consultant
Travel Agency	Truck Manufacturer	Truck Rentals
Truck Sales	Truck Service	Truck Stops
Truck Washing	Web Development	Web Hosting/Maintenance
Wheels

Membership Dues
Membership Category/Dues Level
Are you a current member? (One-time $45 initiation fee for new members)	Yes No
TMTA membership dues cannot be deducted as a charitable contribution for federal income tax purposes. Membership dues can be deducted as a business expense. Federal tax laws require a portion of dues related to lobbying,which TMTA has estimated to be 7.7% for 2008, is not deductible as an ordinary and necessary expense.
Verification
The above company hereby agrees to become a member of TMTA and agrees to pay the above-designated billing for membership dues. We also agree that this contract for dues payment will remain in effect until the above company notifies TMTA in writing at least 30 days prior to cancellation of the membership.
Name of Main Contact Date
Billing Information
Method of Payment: Mail Check Credit Card
Card Number: Exp. Date:

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Online Allied Industry Membership Application

Company Information

Product/Services Information

Membership Dues

Verification

Billing Information