MEMBERSHIP APPLICATION
Realize the benefits of being a UTA member! Receive discounts on just about everything from roadside assistance and health programs to marketing! Just fill out this form and you'll be contacted by a UTA Representative.
|
United Truckers Association Phone: 305-957-7672 |
Make your payment with PayPal & Credit cards.
For more information please call our administration office |
| Membership: * | |
| Contact Name: * | |
| Company: * | |
| Street: * | |
| City: * | |
| State: * | |
| Zip: * | |
| Contact Phone Number: * | |
| E-mail: * | |
| Number of Trucks owned: * | |
| Do you own Trailer: * | YES NO |
| Do you have your own authority: * | YES NO |
| Comment: * | |
| I agree with the Membership Terms and Conditions | |


