
PLEASE PRINT OUT THIS MEMBERSHIP
SIGN-UP FORM
This is not a secure document.
For your protection, print out the form and send it to us by:
MAIL: Tran
Services, PO Box 898, Milford, DE 19963
FAX: 1-800-367-0019 24 hours a day, 7 days a week
CALL with the info: 1-800-367-9100 Mon - Fri, 8:00 a.m. - 5:00
p.m. eastern time
One year membership of $260.00 includes:
Federal Register reprints, monthly issues of The Wheel News, and unlimited telephone support
PLUS a free Management Edition of the U.S. D.O.T. Safety Regulations
Available only to firms that own or operate commercial motor equipment.
| Please
complete the information below:
Number of drivers: ________ Type of commodity transported: _______________________________________ Number of vehicles: over 10,000 pounds gvwr ___________ over 26,000 pounds gvwr ___________ Do you transport: solely intrastate ___________ solely interstate ___________ both ___________ Do you transport any hazardous materials? Yes ___________ No ___________ Do you transport passengers for compensation? Yes ___________ No ___________ Do you require your drivers to complete a daily log book? Yes ___________ No ___________ Have you been audited by the U.S. D.O.T.? Yes ___________ No ___________ If yes, what is your safety rating? Satisfactory ___________ Unsatisfactory ___________ Conditional ___________ Unknown ___________ Company Name _____________________________________________________________________________ Contact Person ______________________________________________________________________________ Mailing Address______________________________________________________________________________ City _____________________________________________________________ State _____ Zip ____________ Area Code & Phone No. _______________________________________________________________________ Area Code & Fax No. _________________________________________________________________________ TERMS: (Make checks payable to Tran Services) #_______________
Account No. (All digits) __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Expiration Date __ __/__ __/__ __ Security Code ____________ _____________________________________________________________________________ _____________________________________________________________________________ |

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This page was last update: 6/17/2009
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