Southern New Brunswick Truckers Association Membership Form – Southern New Brunswick Truckers Association

Please complete the form below and follow instructions to submit payment. Or if you prefer you can print this form and mail to submit.

Southern New Brunswick Truckers
Association Membership Form

Personal Information

Company Name

Contact Name

Street Address

Apartment/Unit #

City

Province

Postal Code

Phone

Cell Phone

Fax

Alternate Numbers

Website

Business Information

Number of Trucks

Compensation Work Safe

Liability Insurance

Liability Amount

Do you have a HST Number?

Trucks & Equipment

Available Trucks & Equipment

Work Areas

Work Areas (Counties)

SNBTA Website

Do you want your information on the website?

Is there anything you don't want listed?

* Membership Price is 135$ for a year (due at the beginning of the year) *
** Cheque must be made out to the Southern New Brunswick Truckers Association **

Please forward cheque by mail to:

Southern New Brunswick Truckers Association
59 French Lake Road
French Lake, NB
E2V 4E4

If you have any questions please contact: Doras Stennick (President) 447-8208