Membership Application

Company Name*

Contact Name*

First Last

Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Is your physical address (for FedEx and UPS deliveries) different than your mailing address listed above?*

Yes - it is different
No - it is the same address

Physical Address (for UPS/FedEx)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Fax

Email

Website

Recommended By:

In order to receive our E-Newsletter, we need email addresses for anyone in your company who would like to receive these communications.

Please list the email addresses below.

Please select your company's membership category:*

Maine Carrier
Non-Resident Carrier
Service Industry

Maine Carrier Section

Type of Maine Carrier*

How Many Vehicles Does Your Company Have?*

1-6 Vehicles - Minimum Annual Payment is $150
More than 6 Vehicles

Please Note:

The first 6 vehicles are included in the minimum annual payment of $150. The dues for remaining vehicles is calculated at $24/vehicle or $12/vehicle, depending upon their GVW.

Vehicles 26,000 GVW or more ($24/vehicle)

Example: if your company has 10 "heavy" vehicles and 10 "light" vehicles, the first 6 "heavy" vehicles are included in the minimum annual payment and the remaining 4 "heavy" vehicles are entered into this field. The other 10 "light" vehicles should be added to the box below.

Heavy Duty Vehicle Dues

Vehicles 10,001 to 26,000 GVW ($12/vehicle)

Light Duty Vehicle Dues

TOTAL MMTA DUES

* Maximum MMTA dues = $1,800

Non-Resident Carrier Section

Type of Non-Resident Carrier*

For-Hire Carrier
Private Carrier

Annual Mileage / Payment (please select annual mileage)*

Service Industry Section

Service Industry (please check one)*

Maine Business - $250/yr
Regional / National Business - $350/yr

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

PLEASE NOTE: MMTA dues are not deductible as a charitable contribution for federal income tax purposes, but may be deductible as a business expense. MMTA estimates that 5% of your dues are not deductible because of MMTA’s lobbying activities on behalf of its members.