To become a member of TWNA, complete this form and return it, along with a $35 payment for dues, to:

Do not send cash. Send money order or check made payable to: TWNA.

Foreign members must remit dues on checks drawn on a U.S. bank.

Note: If your company requires an invoice for your dues renewal, Click Here.

Name___________________________________________________________________

Title____________________________________________________________________

Publication/Company/Affiliation_____________________________________________

If Agency, Account Name(s)________________________________________________

Mailing Address__________________________________________________________

_______________________________________________________________________

City, State, Zip/Postal Code_________________________________________________

Telephone_________________ Fax_________________ E Mail__________________

Publication Focus & Target Audience_________________________________________

________________________________________________________________________

Frequency Of Publication (weekly, monthly, quarterly, etc.)________________________

Company Business, Fields Served & Products/Services Offered_____________________

________________________________________________________________________

Referred By______________________________________________________________

Type Of Membership (check the one that applies):

[ __ ] Full Member -- Journalists working full-time on editorial related duties in the truck trade media and freelance writers who do the majority of their work for trucking media. Also, retired journalists of any ilk, provided they would have met the aforementioned stipulated criteria while working.

[ __ ] Associate Member -- Those whose work is primarily publishing-business related; public affairs, public relations, communications, sales and marketing, advertising personnel, and others involved with the truck trade press; other interested parties who do not meet the Full Member criteria.