Shipper: A company without a fleet, that is not an industry specific supplier and does not have a motor carrier division(s) within its corporate structure.

Click here for the printable version of this form.

 

*Required field, must be completed before form is submitted.
Shipper Membership Enrollment:
Name*:
Informal Name :
Title:
Spouse:
Company*:
Address*:
City/State/Zip*:
Telephone*:
Fax:
Individual E-mail*:
Company Web site:
All shipper members are encouraged to be a member of at least one State Trucking Association(STA). Please list your current STA memberships.   
 Click here for listing of State Associations
Other Companies:

Are there additional companies within your corporate structure (i.e., parent or subsidiary carrier companies)?
Yes

No
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 Shipper 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:
Please Pay by Check:
Make Payable to:

Send to: 		ATA

ATA Membership Department
950 North Glebe Road
Suite 210
Arlington, VA 22203-4181