AMTA Safety Partner Activation Form

You must have a WCB account in one of three WCB industry categories, General Trucking (50714), General Trucking (50714), Garbage Hauling (57901), to be an AMTA Safety Partner. If not go to the Carrier Membership form Located Here

Please complete the following online form. When done... click the submit button at the bottom of this page. Alternatively click here to download a Membership form

WCB Account #:

Contact Name:    Title:

Company Name:

Mailing Address:

City:        Province:         PC:

Phone:    Fax:         Email:

Company Website:

Please indicate under which category you would like your business to be listed:

General Fright                     Intra Only

Liquid Bulk                           Extra Only

Dry Bulk                               Intra & Extra

Heavy Haul                          International

Oilfield                                 Fore Hire

Livestock

Grain                                   Other

Dump Truck

City Cartage

Courier

Summary of Operations: Please write a brief description of your Company:

Alberta Motor Transport Association
#1, 285005 Wrangler Way , Rocky View, Alberta T1X 0K3
#245, 17010 - 103 Avenue , Edmonton, Alberta T5S 1K7
Tel: (1-800-267-1003 | Fax: (403) 243-4610