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Maine Motor Transport Association

 

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Membership Application
Company Information

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Company Name*
Contact Name*
Mailing Street Address*
City*
State*
Zip Code*
(UPS) Physical Street Address
(UPS) City
(UPS) State
(UPS) Zip Code
Phone*
Fax
E-mail
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USDOT#
Recommended by
Sec A: Maine Carriers
Type of Maine Carrier
 		For-hire Carrier
Private
#1 - Minimum Annual Payment
1-6 Vehicles 		$150
#2 - Over 6 Vehicles (light)
Number of additional vehicles 10,001 lbs to 26,000 lbs GVW
x $12 each
#3 - Over 6 Vehicles (heavy)
Number of additional vehicles over 26,001 lbs GVW
x $24 each
TOTAL
Total 1+2+3 above, maximum annual payment = $1,800 (90+ vehicles)
Sec B: NON-Resident Carriers
Type of Non-Resident Carrier
 		For-hire Carrier
Private
Annual Mileage/Payment
Sec C: Service Industries
Type/Payment
 		Maine Business $250/yr
Regional/National Business $350/yr
Total Payment
Please total your payment from the information for your section.

* are required
Total Dues
*We will send you an invoice - membership will commence when payment is received. Please don't hesitate to call Renee (207.623.4128) if you have any questions.
Validation*
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