Application

General Information
Key Contact

* The key contact will receive all invoicing for membership dues.
* The key contact will receive all IMTA mailings, including our, weekly newsletter TRUCK TALK WEEKLY and yearly publications the YEARBOOK AND MEMBERSHIP DIRECTORY & RESOURCE GUIDE,
* The key contact will automatically be listed in our annual membership directory the MEMBERSHIP DIRECTORY & RESOURCE GUIDE under the people section.

If you would like to add other contacts from your company to our publication mailing list for (TRUCK TALK WEEKLY, YEARBOOK AND MEMBERSHIP DIRECTORY & RESOURCE GUIDE, please list them below.

Additional Contacts
Contact 1

(Address if different than company)

Contact 2

(Address if different than company)

Contact 3

(Address if different than company)

Contact 4

(Address if different than company)

Contact 5

(Address if different than company)

Contact 6

(Address if different than company)

Billing Address (if different)
Mailing Address (if different)
Additional Information
Membership Investment

Allied membership indicates that your company provides goods or services to the motor carrier industry. Your company will receive a complimentary listing in our annual membership directory the Indiana Truck Book based on the information you supply. Please mark your type of service or classification from the list provided.

  • Primary Membership Directory listing is complimentary
 
 
 
 
 
 
 
   
 
 
 

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NOTE: If selecting to pay by Check, please do not fill out the Credit Card Information section at the bottom of the form. Thanks.
Credit Card Information

Name on Card
Security Code
Valid Through
Address
City
State
Zip
Phone
Credit Card Email Address

Dues payments are normally deductible as a business expense, but not as a charitable contribution. Payment of your IMTA Membership dues automatically makes you a member of your regional chapter. The Chapters promote grassroots activities, hold informative seminars throughout the year and serve as forums for discussing local concerns.

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