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Contact Information
Company Name
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Company Mailing Address
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Company Phone
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Primary Contact Name
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Primary Contact Title
Primary Contact Email Address
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Primary Contact Phone
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Company Information
DOT Number
Company Physical Address (if different)
Which conference most closely resembles your company?
Highway Carrier
Resource Transporter
Specialized Transport Services
Do you operate Longer Combination Vehicles? (LCV)
Yes
No
Total Miles driven, in Idaho, in the previous year
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Other Contacts
Safety Director Name
Safety Director Email
Primary AP/AR Contact Name
Primary AP/AR Contact Email
Email for submitting invoices
Attestation
I hereby apply for membership in the Idaho Trucking Association (ITA) and agree to abide by and adhere to all ITA by-laws, including the obligation to pay annual membership dues. By typing my name below, I acknowledge that this constitutes my electronic signature and my commitment to fulfill all membership responsibilities.
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