Events and Class Registration NEW MEMBER APPLICATION Thank you for your interest in becoming a member of Hawaii Transportation Association. Please complete the form below. Company : * Company Phone : * Company President: * Company Fax: * Company Representative: * Company Representative Job Title: * Company Representative Email Address: * Company Mailing Address: * Billing Address (if different from mailing address): * Membership Type (please select one): * Public Utilities Commission Regulated Carrier Private Carrier Allied Member MEMBERSHIP DUES STRUCTURE PUC Regulated Property & Passenger Carriers Minimum Annual Dues: $240.00 Property Carriers: $150.00 plus $50.00 per power unit over 10,000 lbs. GVWR Passenger Carriers: $150.00 plus $50.00 per vehicle (regardless of GVWR) Maximum Annual Dues: $3,000.00 Private Carriers Minimum Annual Dues: $240.00 $150.00 plus $20.00 per power unit over 10,000 lbs. GVWR Maximum Annual Dues: $1,200.00 Allied Members Annual Dues: $360.00 MEMBERSHIP DUES CALCULATION: Please write "N/A" in any fields that do not apply to your company. Property Carriers: Number of power units* over 10,000 lbs. GVWR * *Power Units refers to straight trucks and tractors. It does NOT apply to trailers. Passenger Carriers: Number of vehicles (regardless of GVWR) * Private Carriers: Number of power units over 10,000 lbs. GVWR * PUC#: * Type: * Property Passenger N/A Annual Membership Dues: * Members are subject to expulsion if obligations are delinquent more than 90 days. In the case of resignation, please submit resignation in writing via email or email. Any outstanding balance must be paid in full. Preferred Payment Schedule (please select one): * Annual Semi-Annual Quarterly An invoice will be mailed prior to due date. Please make sure to keep your address current in our records. SUBMIT YOUR APPLICATION Please remit payment for 1 year of membership dues along with your completed application. Upon receipt of payment, your application will be forwarded to the Board of Directors for approval. Payment Options (please select one): * Payment via Check (payable to "Hawaii Transportation Association", mail to: P.O. Box 30166, Honolulu, HI 96820). Payment via Credit Card (2% surcharge will be assessed, copy and paste link into browser: http://www.htahawaii.org/chgcdform/). Your selection here will not be saved for future payments. Completed application form and credit card payment can be made online or sent via postal mail with a check. We will send an acknowledgment of receipt and a copy of your membership application via email to the Company Representative listed above after it has been reviewed by the Hawaii Transportation Association staff. Please note that your membership application is pending approval by the Board of Directors. If you have any questions, please email [email protected] or call (808) 833-6628. Signature: * Date: * Captcha If you are human, leave this field blank.
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