MISSOURI TOW TRUCK ASSOCIATION

        M.T.T.A. Membership Application

DATE: _______________________
 
COMPANY NAME:______________________________________________________ 
MAILING ADDRESS:____________________________________________________ 
CITY:_______________________ STATE:__________ ZIP:_____________________ 
PHONE: (___)______-______                    FAX: (___)_____-________ 
EMAIL: ________________________________________________________________ 


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Regular Membership: 
Owners or authorized representatives of companies or firms to which the operation of motor vehicle towing is an integral part of the business. Only one regular membership per company is allowed. Annual Dues are $200.00 and one voting right is granted. 

Member Name:_________________________________________________ 

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Associate Membership: 
Employees of tow services or individuals who were previously involved in the towing industry. Annual dues are $25.00 and no voting right is granted. 
Member Name:_ --______________________________________________ 


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Business Membership: 

Representatives of all other entities engages in the business or activity that is related to this industry and sympathetic to the precepts hereof. Annual dues are $150.00 and no voting right is granted. 
Member Name:________________________________________________ 


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PLEASE RETURN THIS APPLICATION WITH YOUR PAYMENT MADE PAYABLE TO: 

MISSOURI TOW TRUCK ASSOCIATION

P.O. BOX 1221
Liberty MO 64068 

For Office Use Only: 

Amount Paid: $_____________

Mem
bership Approved By 
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