ICTA Become a Member Form

Name*

First Last

Company (if applicable)

Company website (if applicable)

Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Phone*

Birthdate*

DD

MM

YYYY

Gender*

Choose Membership from following options:*

Each of these choices are per year.

Individual/Non-Driver*

Individual/Commercial Driver*

Company-Nonprofit*

Price: $220.00

This is an annual membership fee.

Student*

Price: $15.00

This fee is for the first year of membership as a truck driving school student.

TFC Global Employee*

Price: $0.00

Company*

This is an annual membership fee.

Retired/Disabled Driver

Price: $10.00

This is an annual membership fee.

Lifetime Membership

Price: $25.00

This is an annual membership fee.

Name

This field is for validation purposes and should be left unchanged.

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