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MEMBERSHIP company name date primary contact name title mailing address city/state/ZIP phone (main number) mobile phone fax e-mail your membership level Please check the correct level for your company. Memberships renew 12 months after the date you join. If you operate trucks or buses and are also a supplier, choose the category that best reflects your primary business. annual dues r one truck or bus $125 r 2 - 5 trucks or buses $225 r 6 - 10 trucks or buses $300 r 11 - 20 trucks or buses $350 r 21 or more trucks or buses $400 plus $7.50 for each vehicle after 21 vehicles (capped at $3,275) r supplier with 0 - 10 employees $250 r supplier with 11 - 24 employees $450 r supplier with 25 or more employees $675 your business Please tell us what type of transportation service you provide (dry van, reefer, grain hauler, household goods, etc.) or what product or service you offer to truck and bus companies. your payment information r check enclosed r American Express r MasterCard r Visa r Discover how did you hear about the nebraska trucking association? card number expiration date security code name on card MEMBERSHIP APPLICATION Cut along Line NEBRASKA TRUCKING ASSOCIATION 1710 K Street Lincoln, NE 68508 * * 78 Percent of your dues may be tax-deductible. 22 percent is spend on lobbying, which is not deductible. Consult your accountant for your use. Rates are for 2017 and may change without notification.

membership application Nebraska Trucking Association • P.O ......MEMBERSHIP Nebraska Trucking Association • P.O. Box 81010 • Lincoln, NE 68501-1010 • 402-476-8504 fax 402-476-8570

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Page 1: membership application Nebraska Trucking Association • P.O ......MEMBERSHIP Nebraska Trucking Association • P.O. Box 81010 • Lincoln, NE 68501-1010 • 402-476-8504 fax 402-476-8570

MEMBERSHIPNebraska Trucking Association • P.O. Box 81010 • Lincoln, NE 68501-1010 • 402-476-8504 fax 402-476-8570 • www.nebtrucking.com • like us on Facebook • on Twitter @nebraskatrucker

company name date

primary contact name title

mailing address

city/state/ZIP

phone (main number) mobile phone fax

e-mail

your membership levelPlease check the correct level for your company. Memberships renew 12 months after the date you join. If you operate trucks or buses and are also a supplier, choose the category that best reflects your primary business.

annual duesr one truck or bus $125r 2 - 5 trucks or buses $225 r 6 - 10 trucks or buses $300r 11 - 20 trucks or buses $350r 21 or more trucks or buses $400 plus $7.50 for each vehicle after 21 vehicles (capped at $3,275)r supplier with 0 - 10 employees $250 r supplier with 11 - 24 employees $450r supplier with 25 or more employees $675

your businessPlease tell us what type of transportation service you provide (dry van, reefer, grain hauler, household goods, etc.) or what product or service you offer to truck and bus companies.

your payment informationr check enclosed r American Express r MasterCard r Visa r Discover

78 percent of your dues may be tax-deductible. 22 percent is spent on lobbying, which is not deductible.

membership application

how did you hear about the nebraska trucking association?

card number expiration date security code

name on card

MEMBERSHIP APPLICATION

Cut a

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Lin

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NEBR

ASKA

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KING

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1710

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*

* 78 Percent of your dues may be tax-deductible. 22 percent is spend on lobbying, which is not deductible.Consult your accountant for your use. Rates are for 2017 and may change without notification.

Page 2: membership application Nebraska Trucking Association • P.O ......MEMBERSHIP Nebraska Trucking Association • P.O. Box 81010 • Lincoln, NE 68501-1010 • 402-476-8504 fax 402-476-8570

Industry Leaders working together to forge relationships and guide industry policy, legislation and best practices for profitability.

Truck Services, Inc. offers comprehensive safety and compliance services to help you maintain a safe operation, boost your safety rating and effectively manage your business.

Services include:

• Registration

• Licensing

• Fuel Tax Reporting

• Title Work

• DOT numbers

• Authority

• Mock regulatory compliance audits

• Safety and regulatory training

• Regulatory consultation and assistance

• FMCSA correction action planning

• CSA monitoring

Join industry leaders working together to guide legislation and share best practices for safety and profitability. You’ll get useful information, important services and effective advocacy.

Cut a

long

Lin

e

SERVICES

• Weekly news bulletin, ‘Good to Know.’

• Opportunities to participate in Nebraska Trucking Association’s advocacy efforts

• Priority access to the association’s knowledgeable and experienced staff

• Training and information resources

• Industry fact sheets

• Exclusive access to employee recognition programs that help retain drivers, technicians and key staff

• Networking opportunities and idea exchanges at management conference and other annual events

• Opportunities to participate in special interest councils addressing current topics in logistics and safety management

• Discounts on regulations books, forms and training materials

• Use of the association’s communication channels to announce promotions, plant tours, product launches and open houses

EVENTS

• Fall Management Conference: delivering information and resources for any size of trucking company. Select from a wide variety of key industry topics, social events and sporting events. Industry award winners are also recognized.

• SuperTechCompetition: Nebraska’s premier skills competition for professional commercial vehicle technicians. The winner represents Nebraska at the National SuperTech Competition hosted by the Technology and Maintenance Council of the American Trucking Associations.

• Nebraska Truck Driving Championships: A statewide competition for professional heavy truck drivers who maintain accident-free driving records. Drivers compete in four phases – written test, vehicle inspection, interview with law enforcement and driving skills test by class. Winners in each class advance to the National Truck Driving Championships.

• Call on Washington: Trip to Washington, D.C. to visit the Nebraska delegation, attend policy briefings and attend the Nebraska breakfast – the longest-standing state organized breakfast on the Hill!

• SpringConferenceandFoundationGolfOuting: Association member meeting with presentations on timely topics, association updates and legislative briefings. Includes a golf outing with proceeds benefiting the Nebraska Trucking Foundation.

• SkillsUSA: Nebraska SkillsUSA is a statewide competition for secondary and post-secondary career and technical students. SkillsUSA is a national nonprofit organization serving teachers and students who are preparing for careers in trade, technical and skilled service occupations. IT’s a partnership of students, teachers and industry professional working together to ensure American has a skilled workforce. Trucking industry volunteers serve as skill station judges, volunteers and interact one-on-one with students.

INFORMATION• Details of new and revised rules and impact on your business

• Reports on current topics, trends and best practices

• Access to up-to-date resources

SERVICES• Priority access with staff with safety compliance answers

• Discounts on compliance forms, regulations books and training aids

• Priority access to experts on licensing, titling, permits and fuel tax reporting

ADVOCACY• Effective representation on legislation impacting your business

• Support for highway construction and maintenance projects that benefit our industry

• Publicity for trucking’s safety record and contributions to state’s economy

CONNECT WITH US!

facebook.com/NebraskaTruckingAssociation linkedin.com/groups/Nebraska-Trucking-Association-2438551/about

twitter.com/NebraskaTrucker youtube.com/NebraskaTrucking

1710 K Street Phone: 402-476-8504 Lincoln, NE 68508 www.nebtrucking.com