Truckload Carriers Association

Carrier Membership Application

The Online Carrier Membership Application is divided into two separate steps.

In STEP 1, please fill out all company information and any additional information you would like to provide to the TCA, then submit the form to proceed to STEP 2.

In STEP 2 you will be asked for your payment information. Both forms must be processed completely and successfully before the application will be accepted.

Once the application has been processed and the payment has been approved, a confirmation e-mail will be sent to the address you provided in STEP 2.

You may also fill out the Application Form and credit card information by clicking here to download the application form in a PDF format to mail with your check or credit card to the TCA.

Company Name:
Company President/Chairman/CEO:
Title:
CEO e-mail:
Safety Director/Manager:
Safety e-mail:
Address:
City:
State:		Zip Code:
Phone:	(example: 555-123-4567)
Toll-Free:	(example: 1-800-123-4567)
Fax:	(example: 555-123-4567)
Company Web Address:	http:// (example: www.yoursite.com)
Last Year's Annual Gross Revenues:	$ (Use whole numbers only, example: $36,000,000 = 36000000) Click here to view a schedule of Dues based on your company's Annual Gross Revenues.
Amount of Your Dues:	$
Who recruited you? (name:)
Their Company Name:
Any additional comments you would like TCA to have:
Please click below to process STEP 1 of the application. You will be sent to the credit card payment procedure in STEP 2. Your application will not be processed or accepted until STEPS 1 & 2 have been completed. Click the "CLICK HERE To Process And Proceed To STEP 2" ONLY ONCE.