WSTA Membership Application If you are already a member of WSTA and only need to set up an online account, then you do not need to fill out an application. Please click here instead. To apply for membership, please fill out your company information first. Then tell us about your equipment and other programs you are involved in. You will also need to select a username and password to manage your account online. Finally, pay your membership dues and we will enroll you. Thank you! Note: All items marked with * are required. MEMBERSHIP TYPE*: Regular Member Affiliate Member      (View our media kit here to see benefits) WHICH TYPE(S) OF TRUCKING ARE YOU INVOLVED IN? Construction Trucking Drayage Freight Heavy Haul Moving & Storage Other (Use CTRL + click to select multiple) Step 1: Your Company Information COMPANY NAME*: OWNER/CONTACT NAME*: TITLE/POSITION*: CA#: DOT#: ENTITY TYPE*: Select One Individual/Sole Proprietor Partnership Corporation Other PHYSICAL ADDRESS*: LOCATION CITY*: LOCATION STATE*: LOCATION ZIP*: Mailing address and location address are the same: MAILING ADDRESS*: MAILING CITY*: MAILING STATE*: MAILING ZIP*: WORK PHONE*: CELL PHONE*: CELL PHONE CARRIER*: Select One Verizon Wireless AT&T Sprint/Nextel T-Mobile Other FAX: EMAIL*: CONFIRM EMAIL*: OPT OUT OF MAGAZINE SUBSCRIPTION?: No Yes OPT OUT OF PROMOTIONAL COMMUNICATION?: No Yes PREFERRED SERVICE LANGUAGE: English Spanish WHO IS YOUR SPONSOR?: HOW DID YOU HEAR ABOUT US?*: Select One Google Yahoo Bing Radio Facebook Twitter Another Member AADT Drug Program Compliance & Authority Other Step 2: Your Equipment Step 3: Other Information ARE YOU A BROKER?: No Yes ARE YOU ENROLLED IN A DRUG AND ALCOHOL TESTING PROGRAM?: No Yes DO YOU CARRY WORKERS COMPENSATION INS (STATE FUND)? No Yes DO YOU HAVE A PREPASS: Yes No Step 4: Select Username and Password ENTER USERNAME: ENTER PASSWORD: CONFIRM PASSWORD: Final Step: Membership Dues