Carrier Application For Membership

Membership Roster Listing

Firm Name  
US DOT No.  
Physical Address  
CA No.
City  
State  
Zip  
Main Phone No.    
Mailing Address
Fax Number  
City
State
Zip
Website  
Billing Address
Billing Phone Number  
City
State
Zip
Billing Fax Number  
Principal Rep. Mr./Ms.
Title
Email  
Alternate Rep. Mr./Ms.
Number Of Terminals

Membership Agreement



Any member may withdraw from this association by giving sixty (60) days written notice of intent to do so and by making payment of all obligations dus the Association by the effective date of withdrawal (CTA By-Laws, Article III Section 4).

Member Signature  
Date Signed  
Sponsor (referred by):


Sponsor Name
Company
Dues to be paid:

Equipment Information

Field A.

How many power units/straight trucks (over 26,000 GVWR) are owned, leased or operated by your company, including owner/operators? Enter only numbers, the form totals will be processed for you upon clicking the totals button.

January/February    
March/April    
May/June    
July/August    
September/October    
November/December    
Subtotal
Subtotal is divided by 6
Your calculation for Field A. is:


Field B.

How many straight trucks/vehicles (under 26,00 GVWR are owned/leased, or operated by your company?

 
(For dues assessment, use a 10 to 1 ratio) Divided by 10 =
Field C. is a total of Field A. + Field B.
Please calculate all totals by clicking the totals button before submitting your application.

Method of Payment
Account Number
Expiration Date
Name that appears on Card
Initiation Fee (one time only)
Dues Amount
Industry Image Amount
Voluntary Political Action Amount
TOTAL AMOUNT


Dues Assessment

Dues include an annual cost of $50.00 for subscription to CALTRUX (association magazine).
Number of Power Units/Straight Trucks in Your Fleet

1 to 2 $350.00 per year
3 to 10 $9.00 per power unit per month with a $30.00 per month minimum
11 to 20 $7.00 per power unit per month with a $95.00 per month minimum
21 to 50 $5.75 per power unit per month with a $145.00 per month minimum
51 to 100 $4.50 per power unit per month with a $290.00 per month minimum
100 to 200 $4.00 per power unit per month with a $455.00 per month minimum
201 to 500 $3.50 per power unit per month with a $805.00 per month minimum and a 1,458.00 per month maximum
501 & Over $1.458.00 per month


Industry Image



Up to 20 power units = $2.50 per month
21 to 100 power units = $5.00 per month
101 to 200 power units = $7.50 per month
201+ power units = $10.00 per month


Voluntary Political Action

Flat rate of $16.00 per month ($192.00 annually) or an annual one-time contribution not to exceed $200.00 and to renew on annual billing date.

Contribution


Primary Business Activity Of Company



 
 
 
 
 
 


Membership Directory



Do you wish to be published in CTA's Membership Directory?
Disclaimer