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Find out about the OOIDA Retirement Plan.
Designed specially for the professional trucker.

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Membership Form

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About OOIDA

The number of members in the Association allows OOIDA to continue representing the nation's small business truckers. Our large membership gives us the financial depth to hang on for the long haul in court cases. Our large membership gives us 'weight' when it comes time to let Washington, D.C., know how truckers feel about their industry. If you're a member, thank you for your continued support. If you're not a member, do the right thing. Fill out the membership form below and join OOIDA today!

With this form you can do the following:

Join OOIDA using your credit card

This form is for NEW OOIDA Memberships only.

To renew your membership, please use this form ...

(Membership fee is $45 for one year and includes one subscription to Land Line Magazine.
Add $10 for each additional driver.)

A form is available in PDF format that you can download and fill in and either fax or mail to OOIDA. You can either open and print the membership application, or right-click on the link and select the 'Save Target As ....' option to save it to your computer.

Membership Application

Confidentiality of member information: OOIDA has always maintained a very strict policy regarding the release of any type of information to outside parties. If you have any questions regarding your information, please see the OOIDA Privacy Policy link at the bottom of the page.

1	Step 1 - Select the membership options that best suits your needs
2	Step 2 - Tell us about yourself
3	Step 3 - Payment Information

Items with are required

Step 1 - Select the membership options that best suits your needs

Select length of membership 1 year - $45 2 years - $86 4 years - $172 Lifetime Membership - please call for quote (Renew your membership for 4 years and receive an OOIDA Travel Bag, a $31.95 value)

Please add my spouse as member for $10 per year
Spouse Name: Spouse Date of Birth:
Please add driver(s) to my membership at $10 each. (Complete information at end of form)
*How did you hear about us?*
	Referred by another member? Member Number Member Name Member City/State	The Bozo Radio Show Other Promotional Code

Step 2 - Tell us about yourself

First Name
Last Name
Middle Initial
DBA Name
Street Address
Address (cont.)
Inside City Limits	Yes No
For U.S. Addresses
City
State
Zip Code
For Canadian Addresses
City
Province
Postal Code
Home Phone
Cell phone
Date of Birth
E-mail:	(confirmation will be emailed to this address)
May we contact you via email about:	Yes No - Your Land Line subscription Yes No - OOIDA benefits and services
I am:	(please check one) Owner-Operator Owner (non-driver) Fleet Owner (4 or more) Professional Driver Other
Type of Operation:	(please check one) Leased to a company Own authority Exempt hauler Private carriage Trip lease Driver employed by company Other
If own authority ...	(check all that apply) Common carrier/Contract Freight forward Broker
Number of Trucks you own:
Number of trucks leased:	(to your authority)
Do you own your own trailer?	Yes No


Add Driver Information.
If adding more than 2 drivers, please call our Membership Department at 1-800-444-5791

DRIVER 1
First Name
Last Name
Middle Initial
Street Address
City
State
Zip
Home Telephone
Cell Phone
Date of Birth
E-mail:

DRIVER 2
First Name
Last Name
Middle Initial
Street Address
City
State
Zip
Home Telephone
Cell Phone
Date of Birth
E-mail:

Step 3 - Payment Information

Payments can only be accepted in USD$
Credit Card:
Name:	(as it appears on card)
Card Number:	- - -
Expiration Date:	Month Year
CVD:		(The Card Verification Data code is the 3-digit number printed on card reverse in the signature area)
Amount	$