Motor Carrier Application Form

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Please complete the following Application form by entering the applicable information and then clicking on the Submit Application button.

Title:

Name:

Position:

Company:

Address:

City:

Prov:

Postal:

Phone:

Fax:

Email:

www:

I am applying for membership as a:		Motor Carrier
		Courier or Small Vehicle Fleet
		Motor Coach
		Inter-provincial Carrier
		U.S. Carrier
Number of Units:

I need more information. Please have someone contact me!

Yes No

Comments:

British Columbia Trucking Association	Office hours: 8:30 am to 5 pm, Mon. to Fri.
100 — 20111 93A Avenue, Langley, BC V1M 4A9	Port passes: 8:30 am to 4:30 pm, Mon. to Fri.
bcta@bctrucking.com

BC Trucking Association