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MEMBERSHIP APPLICATION We’re excited that you are interested in joining the Oregon Trucking Associations! OTA’s been around since 1939 and our goal is to advocate, educate, and promote the trucking industry to help our members succeed. Whether you’re interested in our training classes, annual events, networking opportunities, consultative services, legislative representation, industry news through our publications, or simply supporting the trucking industry, you’ll be sure to benefit from your membership with us. TOP REASONS TO JOIN: EDUCATION Discounts on Training Classes & Events Hear Industry News First Through Our Publications CONSULTATION Experts on Staff to Help Answer Questions Discounted On-Site and Mock Safety Audit Services ADVOCACY Legislative Representation Get Updates and Help Us Take Action NETWORKING Meet Other Professionals PROFESSIONAL DEVELOPMENT Contribute to Committees, Councils, Training Classes Opportunities for Awards & Recognition OTHER MEMBER BENEFITS Drug & Alcohol Consortium Workers’ Comp Program And More! What else? • Stay current with trends: Safety & Regulatory Compliance Technology and Maintenance Government Affairs And More! • Services available to ALL your employees Safety Directors Operations/Driver Managers Maintenance Managers Human Resource Personnel Diesel Technicians Everyone! • Authorized agent and expert consultation for annual over-dimensional permits • Support and help us improve the trucking industry in Oregon JOIN NOW!

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Page 1: MEMBERSHIP APPLICATION › userfiles › UserFiles › ... · Categories for Directory (please select up to 4 and circle the primary category): Last updated on: 01.20.20 Accident

MEMBERSHIP APPLICATION

We’re excited that you are interested in joining the Oregon Trucking Associations! OTA’s been around since 1939 and our goal is to advocate, educate, and promote the trucking industry to help our members succeed. Whether you’re interested in our training classes, annual events, networking opportunities, consultative services, legislative representation, industry news through our publications, or simply supporting the trucking industry, you’ll be sure to benefit from your membership with us.

TOP REASONS TO JOIN:

EDUCATION Discounts on Training Classes & Events Hear Industry News First Through Our Publications

CONSULTATION Experts on Staff to Help Answer Questions Discounted On-Site and Mock Safety Audit Services

ADVOCACY Legislative Representation Get Updates and Help Us Take Action

NETWORKING Meet Other Professionals

PROFESSIONAL DEVELOPMENT Contribute to Committees, Councils, Training Classes Opportunities for Awards & Recognition

OTHER MEMBER BENEFITS Drug & Alcohol Consortium Workers’ Comp Program And More!

What else?

• Stay current with trends: • Safety & Regulatory Compliance • Technology and Maintenance • Government Affairs • And More!

• Services available to ALL your employees • Safety Directors • Operations/Driver Managers • Maintenance Managers • Human Resource Personnel • Diesel Technicians • Everyone!

• Authorized agent and expert consultation for annual over-dimensional permits

• Support and help us improve the trucking industry in Oregon

JOIN NOW!

Page 2: MEMBERSHIP APPLICATION › userfiles › UserFiles › ... · Categories for Directory (please select up to 4 and circle the primary category): Last updated on: 01.20.20 Accident

COMPANY NAME: _______________________________________________________________________

Primary Phone: ______________________________________ Fax: ________________________________

Main/General Email: _______________________________________________________________________

Website: ________________________________________________________________________________

Physical Street Address: ___________________________________________________________________

City, State, Zip: __________________________________________________________________________

Mailing Address (if different): _______________________________________________________________

Billing Address (if different): ________________________________________________________________

Additional Locations: ______________________________________________________________________

Affiliated Companies: ______________________________________________________________________

COMPANY REPRESENTATIVES

Primary Contact: _________________________________________ Title: ___________________________

Phone: _________________________________________________________________________________

Email: __________________________________________________________________________________

Accounting/Billing Contact Name: ____________________________________________________________

Phone: _________________________________________________________________________________

Email: __________________________________________________________________________________

Safety/Training Contact Name/Title: __________________________________________________________

Phone: _________________________________________________________________________________

Email: __________________________________________________________________________________

Fleet Maintenance Contact Name/Title: _______________________________________________________

Phone: _________________________________________________________________________________

Email: __________________________________________________________________________________

Additional Contacts: _______________________________________________________________________

_______________________________________________________________________________________

How did you hear about OTA (please list any referrals)?: _________________________________________

Business Description/Keywords: _____________________________________________________________

_______________________________________________________________________________________

STRONGER BY ASSOCIATION Please fill out the following information and submit via mail or email: [email protected].

Page 3: MEMBERSHIP APPLICATION › userfiles › UserFiles › ... · Categories for Directory (please select up to 4 and circle the primary category): Last updated on: 01.20.20 Accident

MEMBERSHIP DUES STRUCTURE - 2020

CARRIER (Operates trucks)

Owner Operator $391/year Small Fleet (2-5 Trucks) $578/year 6+ Trucks (See Chart) Police, Fire, Educational Institution, Municipality $480/year Nonprofit Organization $220/year

ALLIED PARTNER (Offers products and services to trucking industry members)

With Only Oregon Locations $575/year With National Locations $895/year Freight Brokerage-Only $715/year Educational Institution $480/year

OTA will contact you for additional company information and to set you up in the Member Portal.

PAYMENT PREFERENCE Invoice (Email or Mail) Call for Payment Payment Included with Application Submission

CARRIER (with 6+ Trucks)

Total Oregon Miles Last Year Annual Dues

0 - 500,000 $869

500,001 - 750,000 $1,172

750,001 - 1,000,000 $1,573

1,000,001 - 2,000,000 $1,975

2,000,001 - 3,000,000 $2,360

3,000,001 - 4,000,000 $2,772

4,000,001 -5,000,000 $3,036

5,000,001 - 6,000,000 $3,559

6,000,001 - 7,000,000 $3,960

7,000,001 - 8,000,000 $5,016

8,000,001 - 9,000,000 $6,017

9,000,001 - 10,000,000 $7,227

Over 10,000,001 $8,630

I understand that mileage required to be reported by motor carriers to the Oregon Department of Transportation in connection with the

imposition or collection of any tax is exempt from disclosure by the Oregon Department of Transportation under ORS 825.517.

Notwithstanding ORS 825.517, by signing below, I hereby authorize the Oregon Department of Transportation disclose the annual mileage

applicant reported to the Oregon Department of Transportation in connection with the imposition or collection of any tax to the OTA.

Please list USDOT #’s for all fleets: __________ __________ __________ __________ __________ __________

Application completed by: _______________________________________________ Date: _________________ (Signature)

Membership dues are based on all entities/companies with the same ownership unless otherwise specified.

Categories for Directory (please select up to 4 and circle the primary category):

Last updated on: 01.20.20

Accident Investigation

Accounting

Agriculture/Farming

Association

Attorney/Law Firm

Auto Hauler

Banking/Finance/Credit

Bulk Trailer

Carrier

CDL Testing

CDL Training/Driver School

Common/For-Hire

Communications

Construction/Dump Truck

Consultants

Distribution/Warehouse

DOT Physicals

Drayage

Driver Safety Services

Drug/Alcohol Testing

Dry Van

Educational Institution

ELD's/Tracking Solutions

Employment Screening

Environmental Cleanup

Flatbed/Curtain Van

Food & Beverage

Freight Brokerage

Fuel/Oil/Lubricants

General Contractor

Health/Wellness

Heavy Haul

HR/Payroll

Insurance/Risk Mgmt.

Intermodal/Containers

Landscaping Prod. & Serv.

Licensing & Permits

Lightweight/Box Trucks

Load Board

Log Truck

Logistics Management

LTL Carrier

Lumper Services

Maintenance Prod. & Serv.

Manufacturer

Marketing/Advertising

Medical Facilities/

Occupational Medicine

Moving/Storage

Nonprofit

Other

Police/Fire/Municipality

Private Fleet

Promotional Products

Real Estate

Refrigerated Trailer

Safety Services

Signage

Tanker

Technology/Data Specialists

Tow Truck/Wrecking

Service

Trailer Rentals/Leasing

Trailer Sales

Transportation Forms &

Supplies

Truck Rentals/Leasing

Truck Sales

Truck Stop

Truck/Trailer Inspection

Truck/Trailer Manufacturing

Truck/Trailer Parts &

Accessories

Truck/Trailer Repair &

Maintenance

Truck/Trailer Washing/

Detailing

Truckload Carrier

Waste Disposal

Page 4: MEMBERSHIP APPLICATION › userfiles › UserFiles › ... · Categories for Directory (please select up to 4 and circle the primary category): Last updated on: 01.20.20 Accident

Oregon Trucking Associations 4005 SE Naef Road | Portland, OR 97267

503.513.0005 | [email protected] www.ortrucking.org

Still undecided? Here’s what some OTA members had to say:

"We’ve been a member with OTA since 2007, and based on Tim’s experience working with the association he

finds that the training provided by OTA is always very informative, reliable, and helpful to the industry. When we

found out we would be audited by ODOT, we wanted to make sure we were on the right path so we called on

OTA. The staff members were easy-going, laid- back, and made us feel comfortable. They sent us some

preliminary information on what they’d be looking for so we could compile materials and paperwork before the in-

person mock audit. The services we received were exactly what we needed, and OTA exceeded our

expectations. John and Adam came on-site, and the process was not at all stressful. With their help, we passed

the audit! I highly recommend that others join OTA as a member and reach out for their auditing services. They

are a wonderful resource!"  - Heather Hamilton - Dispatcher, Cascade Transport (Carrier Member)

—————————————————————————————————————————————————— I joined the Oregon Trucking Association because OTA works tirelessly to both promote and protect the trucking

industry in Oregon. The work OTA does in the legislature as well as on the regulatory front is critical and in an

ever-changing climate we need to know the issues. OTA is that liaison between the legislature and industry. It’s

promotion of safety and the wealth of experience found throughout the membership in terms of the many

industry safety professionals that contribute their time and expertise is found nowhere else. As an allied member

we recognize the value that OTA brings to its members as well as the industry as a whole and feel it is an

important association for us to be a member of as well as a proactive participant. -Jennifer King, Account Executive, WHA Insurance (Allied Member)

—————————————————————————————————————————————————— "We have found great value in OTA’s ongoing work representing the industry and advocating for reasoned and fair

legislative and governmental policy – efforts which have clearly aided the state’s transportation industry and built

effective relations with Oregon’s state and local governments.  I have worked with representatives who have

participated on OTA’s Government Affairs Committee, Executive Committee, and Board of Directors for many

years in support of OTA’s advocacy work. We believe this partnership has provided excellent ROI in terms of time

and dollars invested, and has delivered significant dividends which truly represent the power of association with

OTA." -Lanny Gower, Senior Tax Manager, XPO Logistics (Carrier Member)

—————————————————————————————————————————————————— "We belong to the OTA to network and build relationships that help guide us through the ever changing

transportation industry."   -Myke Lake, CEO, McCracken Motor Freight (Carrier Member)