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Renewing MembershipNew Member
Company's Legal Name
Number of Years in Business
Membership in NLA?
Check the appropriate box to indicate all vehicle types in your fleet
Total Number of Pieces of Equipment in Your Fleet
Two Primary Cities You Service
Product(s) of Service(s) Offered
If you are operating one or more commercial motor vehicles in interstate and/or intrastate commerce are you currently in compliance with all federal and state requirements prescribing mandatory minimum levels of public liability insurance coverage?
Are you currently in compliance with all federal and state motor carrier operating licenses certificate or permit requirements?
I understand that my application to be an MLA Operator Member is PENDING until verification of my authority’s licensing and insurance requirements
Operators (Based on Fleet Size)
1-5 Vehicles ($120)6-10 Vehicles ($170)11-15 Vehicles ($220)16+Vehicles ($270)
YesNoI will send a check
OATH: I affirm That all the information contained within is true and correct to the best of my knowledge
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