Company : * Phone : * President : * Fax : * Representative : * E-Mail Address : * Mailing Address : * Payment Schedule (please select one) * Annual Semi-Annual Quarterly Monthly Membership Type (please indicate one) * Public Utilities Commission Regulated Carrier Private Carrier Allied Member Signature : * Date * HTA USE ONLY : Annual Dues * Property Carriers : Number of power units* over 10,000 lbs. GVWR * Passenger Carriers : Number of vehicles (regardless of GVWR) * PUC# * Type * Property Passenger Footer Text * Power Units refers to straight trucks and tractors. It does NOT apply to trailers. Your membership application is pending Board of Directors' approval. Members are subject to expulsion if obligations are delinquent more than 90 days. In the case of resignation, any outstanding balance must be paid in full. DUES STRUCTURE PUC Regulated Property & Passenger Carriers Minimum Annual Dues - $240.00 Property Carriers: $150.00 plus $50.00 per power unit over 10,000 lbs. GVWR Passenger Carriers: $150.00 plus $50.00 per vehicle (regardless of GVWR) Maximum Annual Dues - $3,000.00 Private Carriers Minimum Annual Dues - $240.00 $150.00 plus $20.00 per power unit over 10,000 lbs. GVWR Maximum Annual Dues - $1,200.00 Allied Members $360.00 Annual Dues You may also mail your completed application to: Hawaii Transportation Association P.O. Box 30166 Honolulu, HI 96820 If you have any questions, please call (808) 833-6628. Payment Options * Credit card form attached - 2% surcharge to be applied Mailing in payment Note: Membership application is pending Board of Directors’ approval. Members are subject to expulsion if obligations are delinquent more than 90 days. In the case of resignation, any outstanding balance must be paid in full. Captcha Payment Schedule (please select one) * Annual Semi-Annual Quarterly Monthly For Credit Card Payments If you would like to pay via credit card, please copy and paste the following page link and complete as required: https://www.htahawaii.org/chgcdform/ If you are human, leave this field blank.