Allied Trades OTA Membership Application Form (2021) Company Name Mailing Address City Prov/State Postal Main Phone Toll Free Billing Address (if different from mailing) DECLARATION: Please read carefully before completing form. By checking the appropriate box, you are giving OTA your consent to use the information as stated: YOUR PRODUCTS & SERVICES (choose all that apply) Help OTA serve you better by telling us about your company. This information will be included in the online listing of the OTA Buyers' Guide: www.ontruck.org Company Email (for OTA Buyer's Guide) Number of Employees Website URL Main Fax The information collected in this application form will be published in our on-line Buyers’ Guide directory. If you wish your information to be included in the directory, please indicate by checking the box. From time to time, we make our membership list available to third-party companies to conduct industry surveys and questionnaires. If you wish to be included in this list, please indicate by checking the box. Choose the primary categories that generally defines the products/services you provide first then choose the sub-categories that clearly describes the services you provide for these products. Primary Categories Sub-Categories Auction N/A Cargo Securement (CSEC) N/A Cleaning Equipment & Supplies (CES) N/A Consulting Services (CSER) Legal/Law Compliance Finance Tax Specialized Data Services (DSERV) Communications Internet Software Electrical (ELEC) N/A Engines/Drivetrain (ENG) Components Exhibit N/A Fuel (FUEL) Additives Filtration Refueling Service Graphics (GR) N/A Human Resources (HR) Recruitment Insurance (INS) Broker Carrier Load Broker (LB) N/A Maintenance (MAINT) Equipment Material Handling (MH) N/A Media (MED) Communications Printing Service Publications Primary Categories Sub-Categories Paints-Finishes-Coatings (PFC) N/A Real Estate Recycling-Recovery-Waste System (RRW) Equipment Refrigeration-Heating-Cooling (RHW) Sales Maintenance Safety Equipment-Security (SES) Apparel Service Scales (SCL) N/A Tires (TI) Manufacturer Maintenance-Repairs Sales Trailer-Tank (TT) Accessories Components Leasing-Rentals Maintenance-Repairs Parts Manufacturer Sales Training (TRA) Materials School Truck (TR) Accessories Components Leasing-Rentals Maintenance-Repairs Parts Manufacturer Sales Sleeper Cab & Accessories Tracking Truck Stops (TSTOP) N/A Provide a brief description of your company's product and/or service offerings to the trucking industry