Application

General Information
Main Point of Contact Information

The main POC will receive annual membership invoice, unless otherwise requested. The main POC will also receive IMTA mailings, weekly newsletter the Truck Talk Weekly (TTW), our Crossroads Quarterly and Membership Directory & Resource Guide. The main POC will also be listed in the Membership Directory, under the people listing section.

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

Additional Contacts
Add additional personnel below that would like to receive the TTW, Crossroads Quarterly, and/or the IMTA Membership Directory & Resource Guide. This can also be done via your company's IMTA member portal, by your main POC when setting up their log-in credentials.
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

IMTA Membership is not active until the first dues payment is received. A paid receipt will be provided when paying by credit card. Dues payments are normally deductible as a business expense, but not as a charitable contribution. Consult your tax accountant for specific information. Dues are on a 12-month cycle. Renewal billing will be set to the first of the month in which you join.

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