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Transporter/Broker Sign Up Page

Transporter/Broker Services          Slogan: "Get the Load - Get Paid For the Load"

  • LoadMyTruck.Com is the Official Web Site of the "All American Trucking Association.
  • Registered members must provide all the following information. Please be precise and complete when filling out this form.
  • Please help build this site's popularity in the industry so that we can serve you better.
  • The Membership Fees for general membership are just as follows:
    1 Month:     $29.95
    3 Months:    $84.95
    1 Year:        $299.95
    Free trial is free for two weeks with full benefits - Then switches to quarterly.
     Your credit card WILL NOT BE CHARGED during the free trial! Free Trial period
    starts at time of signup and continues for two weeks. If you wish to cancel you may do so at anytime without charge.
    Membership dues are Pre-Paid Only. Membership fees are handled through PayPal®.
    For Free Broker Membership, Please Click Here.
  • It normally takes no more than 72 hours to process new member applications so
    getting a new membership is much faster!

ATTENTION: If you were referred by anyone, Click Here Now Please
 User Information (Red Denotes a Required Field)
Username:
Password:
User Type:
 Contact Information
Company:
Dispatcher:
Owner or Manager: (Full Name)
Street Address:
Apt/Suite:
City:   
State:
Zip:
Country:
Phone to List:
Toll-free Phone:
Local Phone:
Fax:
E-Mail:
Preferred Contact Method: (for transporters to contact you)
Web Site:
 Reference Information
ICC-MC Number:
Year Established:
Company Description:
(up to 40 words)
Carriers use Broker references - Brokers and Dealers use Carrier references
Business Reference #1: (include phone)
Business Reference #2: (include phone)
Business Reference #3: (include phone)
 Bond Information ( If Broker, This Must Be Completed And Correct )
Surety Bonding Agent:
Bonding Company Phone:
 Insurance Information ( If Transporter, This Must Be Completed And Correct )
Insurance Company:  

(Insurance company should be prepared to fax coverage to brokers)

Insurance City/State:
Insurance Phone:
Liability Limit:
Physical Damage Limit:
Insurance Deductible:
By submitting this application, I agree to the terms of the Membership Agreement. I understand that LoadMyTruck.Com is the official Web Site of the "All American Trucking Association" and as such I am entering into a membership in the association. The membership dues which also entitles me to use of the LoadMyTruck.Com database will be $29.95 per month, $84.95 Quarterly, OR $299.95 for a full Year Membership, prepaid. An E-Mail will be sent to me at my correct E-Mail address detailing where to send in my dues OR, if I prefer, I may also pay my dues by Credit Card or PayPal from a link in the E-Mail I will be sent within the next few minutes.

 
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