Towing Traffic Incident Reporting System
2018 Associate Membership Application
Associate Membership in the association is open to vendors suppling goods and/or services to the towing industry, and is also open to towing companies not doing business within the Commonwealth of Massachusetts. To become a member, fill out this form and return it to the STA office. Membership becomes active upon receipt of payment.
Associate membership dues are $400.00 per year. Mid-year memberships to June are calculated at the rate of $35.00 per month to the end of the calendar year. After June dues are $220.00 with membership valid to the end of the calendar year. To pay by debit or credit card, once you submit the form you will be redirected to the Payment Options page. If you wish to pay by check, make the check payable to Statewide Towing Association and mail to P.O. Box 425, Southborough, MA 01772
Company Name
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Mailing Address
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City
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State
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Zip Code
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Owner/Officer or Company Representative
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First
Last
Alternate Representative
First
Last
Owner/Office/Company Rep. Email
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Alternate's Email
Owner/Office/Company Rep. Cell #
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Alternate's Cell #
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Please provide the information below. This information will be listed in the online Member Resource Directory on the STA website. It is important the information is accurate so your company can be found using the various search parameters including geographic location, contact information and services offered. Throughout 2016, we will be expanding and enhancing this new member benefit.
Contact Name
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First
Last
Contact Email
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Physical Street Address of Business
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City
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State
Zip Code
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Business Phone Number
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FAX
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Website
Company Services
Equipment
Tow Equip. - Manufacturer
Tow Equip. - Dealer
Road Service Equip.
Trailers
Chassis Dealer
Tires
Acessories
Financing
Other
Maximum Allowed:
250
characters.
Currently Used:
0
characters.
Technology
Dispatch Software
Websites & Social Media
Video Production
Computers, Servers & Tablets
Cell Phones
Two-Way Radios
GPS
Shop Software & Diagnostic Tools
Other
Maximum Allowed:
250
characters.
Currently Used:
0
characters.
Insurance
Workers' Compensation
Garage Keepers Legal Liability
Cargo
Liability
Umbrella
Vehciles
Rigging
Health
Life
Disability
Building
Other
Maximum Allowed:
250
characters.
Currently Used:
0
characters.
DOT Compliance
DOT Physicals
Drug & Alcohol Testing
Driver & Vehicle Files
Electronic Driver Logs
Trip Permits
Other
Maximum Allowed:
250
characters.
Currently Used:
0
characters.
Other
Truck Lettering & Signage
Uniforms
Safety Equipment
Motor Club/Dispatch Service
Other
Maximum Allowed:
250
characters.
Currently Used:
0
characters.
Resource Guide
The above supplied information will be published on the Association website under the Member Resource Guide. Only paid Associate Members information will appear in this guide.
Enhanced listings are available for an annual fee of $200. Enhanced listings include:
Payment
Annual Dues $400
New Members on or after 7/1 - $220
Enhanced Resource Guide Listing
I, the undersigned, do hereby agree to abide by the constitution and bylaws of Statewide Towing Association, Inc. All decals and patches bearing the Association logo or insignia and the rights to reproduce the logo are proprietary property of Statewide Towing Association, Inc. Payment for decals or patches are leased for the term of membership. Termination of membership terminates the right to possession or use of such insignia in any form. The Association decal is a Service Mark Logo of Statewide Towing Association, Inc., duly registered with the Commonwealth of Massachusetts.
By typing my name below, I agree to the above
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Date
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