​
Indiana Motor Truck Association
  • About Us
    • Board of Directors >
      • Standing Committees
      • Past Chairs and Presidents
      • Founders Award
    • Allied Industry
    • Future Leaders of Indiana Council (FLI)
    • Safety & Maintenance Council (SMC) >
      • Award Applications >
        • Master Truck Driver Application
        • Driver of the Month Application
        • Technician of the Quarter Application
        • Safety Professional Application
        • Maintenance Professional Application
        • Dispatch Professional Application
        • Fleet Safety Award Application
    • Staff
  • Advocacy
    • Trucking Industry Political Action Committee (TIPAC)
    • Legislative Highlights
    • Take Action
    • Donate to TIPAC
  • Events
    • GET RECOGNIZED
    • Speaker Submission
  • Initiatives
    • CDL Training Programs & More >
      • IMTA Member CDL Schools
      • CDL Plus - Information & FAQ
    • #PutThePhoneDown
    • Gold Club
    • NFP Partners
  • News
    • Crossroads Quarterly
    • Helpful Links
    • Press Releases
  • Membership
    • Allied Membership
    • Carrier Membership
    • New Member Lead
    • Endorsed Partners
  • Members Only
    • Log In
    • Directory
  • About Us
    • Board of Directors >
      • Standing Committees
      • Past Chairs and Presidents
      • Founders Award
    • Allied Industry
    • Future Leaders of Indiana Council (FLI)
    • Safety & Maintenance Council (SMC) >
      • Award Applications >
        • Master Truck Driver Application
        • Driver of the Month Application
        • Technician of the Quarter Application
        • Safety Professional Application
        • Maintenance Professional Application
        • Dispatch Professional Application
        • Fleet Safety Award Application
    • Staff
  • Advocacy
    • Trucking Industry Political Action Committee (TIPAC)
    • Legislative Highlights
    • Take Action
    • Donate to TIPAC
  • Events
    • GET RECOGNIZED
    • Speaker Submission
  • Initiatives
    • CDL Training Programs & More >
      • IMTA Member CDL Schools
      • CDL Plus - Information & FAQ
    • #PutThePhoneDown
    • Gold Club
    • NFP Partners
  • News
    • Crossroads Quarterly
    • Helpful Links
    • Press Releases
  • Membership
    • Allied Membership
    • Carrier Membership
    • New Member Lead
    • Endorsed Partners
  • Members Only
    • Log In
    • Directory

Application

To view this form, please enable JavaScript in your browser.

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

Contact 1

Contact 2

Contact 3

Contact 4

Contact 5

Contact 6

Contact 7

Contact 8

Contact 9

Contact 10

Billing Address (if different)
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
 
 
 

The contents of this box are for testing purposes. This box will be removed when the form goes live.
 
 
 
 
 


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
Please click submit only one time.  The transaction may take several seconds.


Copyright © 2021 Indiana Motor Truck Association. All rights reserved.
One N. Capitol, Suite 460, Indianapolis, IN, 46204
Phone: (317) 630-4682  |  Fax: (317) 630-0072  | info@intrucking.org
Picture