Online Carrier Membership Application

Printable Carrier Membership Application - Adobe Acrobat PDF Format:

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

Bill my dues: Annually Quarterly
Membership Dues
Number of Trucks: Annual Membership Dues are based on $30 per truck, per year for Texas-based trucks ($330 minimum and $13,200 maximum)
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 relegated 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 Method
Method of Payment: Mail Check Credit Card
Card Number:		Exp. Date: