Membership Form
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All members will be subject to a 90 probationary period giving time for membership approval and compliance checks. This affiliate membership is free and will give members access to all aspects of IMCA with the following exceptions: Affiliate members will not have access to the job board, nor will they take part in member voting or ownership rights.
Company:
First Name:
Last Name:
Title:
Telephone 1:
Telephone 2:
Fax:
E-mail:
Password:
Confirm Password:
Alternate E-mail:
Address1:
Address2:
City:
State:
ZipCode:
Country:
  Copy To Shipping Address
Shipping Address1:
Shipping Address2:
Shipping City:
Shipping State:
Shipping ZipCode:
Shipping Country:
Have You Been Convicted Of A Felony:



Do You Have Interstate Authority:




If YES, please enter your DOT and Motor Carrier (or Freight Carrier) Number: DOT MC/FF:
If an agent, with what van line are you primarily affiliated?:
Is your company approved for military shipments?:



Is your company approved for GSA Traffic?:



No Of Straight Truck:
No Of Tractors:
No Of Trailers:
Warehouse SqFt:
Scale Length:
No Of Employees:
No Of Branches:
D-U-N-S Number or Tax ID #:
Brief description of your company and/or services:  

(Maximum characters: 500)
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Mailing List:
My company hereby applies for affiliated membership in the Independent Mover's CO-Op of America. I agree: • That my company will make its best efforts to comply with the applicable regulations relating to household goods transportation; • I have read and agree to abide by the IMCA Code of Ethics. I understand that failure to adhere to these ethics will be grounds for removal from IMCA membership; • Any IMCA Logo shall be used in a professional manner, members shall take all reasonable measures to keep the use of any copyrighted IMCA Logo restricted and only used by recognized IMCA members, and that its IMCA membership may be forfeited upon being notified by the IMCA of its failure to observe the Code of Ethics; • This Agreement shall continue in full force and effect during the period of the Signatory Party's compliance with the terms of the Agreement, including any Amendments thereto as may be lawfully applied; and • I understand and agree that any materially false or misleading information provided in this Membership Application is grounds for denial of membership or for immediate termination of membership. • I understand and agree that any materially false or misleading information provided in this Membership Application is grounds for denial of membership or for immediate termination of membership and all corresponding privileges without any pro rata refund of any monies already paid to IMCA.
I Accept These Terms

 
  Job Board  
  • Date: 11/26/2010
    5000 lbs from Topeka, KS to Atlanta, GA by 11/29/2010 [view...]
  Updates  
  • Date: 3/14/2011
    Title: AMSA 2011 Convention
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  • Date: 12/16/2010
    Title: Members page just added.
    [view...]
  • Date: 11/19/2010
    Title: Now accepting Affiliate Membership; simply click join now under memberships & fill out form.
    [view...]