KMCA Membership Application

Dues for carrier members are $185 for the first truck and $15 for each additional unit for the first year. Membership begins the month you join and goes for 12 months after that.

Dues for a Kansas distributor in the allied division are $250 and dues for a manufacturer/national supplier in the allied division are $300.


 

Date
Company Name
*Primary Contact
Title
*Mailing Address
*City, State, Zip
Street Address
City, State, Zip
*Phone
Fax
*E-mail
Type of Carrier/Supplier
*Number of Units Operated
Annual Dues $
Referred to Join KMCA by