Allied Member: A non-carrier company that provides goods or services to the trucking industry.

Click here for the printable version of this form.

*Required field, must be completed before form is submitted.
Allied Membership Enrollment:
Name*:
Informal Name :
Title:
Spouse:
Company*:
Address*:
City/State/Zip*:
Telephone*:
Cell:
Fax:
Individual E-mail*:
Company Web site:

All non-carriers are encouraged to be a member of at least one State Trucking Association (STA). Please list your current STA memberships, if applicable-if a member of only one, please enter NA in other fields. *

  I am not a member of a State Association.  

   Click here for listing of State Associations
2008 Revenue*:
2010 Revenue*:
Dues*:
ATA dues are based on gross trucking revenues (from all commonly owned transportation and logistics operations) for 2008 and 2010, excluding fuel surcharges.
(Click here to view the Allied Member Investment Schedule.)
Was an ATA member helpful in your joining? If so, please tell us in the spaces provided below so we may properly thank him or her.
Name:
ATA Member Company:
City, State:
 Please Invoice: