Affiliate Member Application Form

Instructions

Application form for Affiliate Members - Companies that provide goods and services to the trucking industry

Please fill out the following form. If you have any questions, contact Nathan Goolsby, nathan@gmta.org or 404-290-2356

Select Your Option(s)

Affiliate Member $900 Annually

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Family NameBusiness Name

Please select a valid membership option and fee item if exist

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