Application

Organization Information (to be displayed online)

Organization Name

Address 1

Address 2

City

State

Zip

Country

Phone

Fax

Website

Billing Address (if different from above)

Address 1

Address 2

City

State

Zip

Country

Mailing Address (if different)

Address 1

Address 2

City

State

Zip

Country

Main Contact

Copy from Organization-Information

First Name

Last Name

Address 1

Address 2

City

State

Zip

Country

Title

Phone

Additional Contacts (if applicable)

President/CEO

First Name

Last Name

Title

Email Address

Purchasing Agent

First Name

Last Name

Title

Email Address

Compliance Program Designee

First Name

Last Name

Title

Email Address

Sales

First Name

Last Name

Title

Email Address

Engineering

First Name

Last Name

Title

Email Address

Marketing

First Name

Last Name

Title

Email Address

Accounting

First Name

Last Name

Title

Email Address

NHTSA

First Name

Last Name

Title

Email Address

Additional Information

Year Established

Are you currently manufacturing trailers? YesNo

If not, when do you intend to begin manufacturing trailers?

Number of trailers manufactured last model year

Referred By

Number of Full Time Employees

This company manufactures trailers weighing:

0-10,000 lbs GVWR
10-26,000 lbs GVWR
Over 26,000 lbs GVWR

I agree to adhere and abide by the Bylaws of the Association (available by email or at www.NATM.com), and understand that participation in the NATM Compliance Verification Program is a requirement of Regular membership.

Other Information Requested

All NATM Members are required to obtain a World Manufacturer Identification (WMI) number in order to complete the Compliance Verification Program. If your company already has one, please input that number here.

WMI

If your company does not yet have a WMI number, NATM can assist in that process.

Membership Investment

Membership Type

Primary Directory Category

Directory Categories

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NATM membership is based on a calendar year, January 1 to December 31. Payment of full membership dues must be made with this application. If you join after January, a portion of your membership dues will be applied to the following year’s dues. Membership renewal statements are sent out each November for the next calendar year.

Annual Membership Investment

Total

Credit Card Information

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Credit Card Type MastercardVisaDiscoverAmex

Credit Card Number

Name on Card
Security Code
Valid Through
Address
City
State
Zip
Phone
Credit Card Email Address

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Please select a membership type before submitting your application.

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