Michigan Movers Association
Membership Application Form

  You may use the below form to place an order for blank forms with the Association. Simply fill in the desired quantities and the contact information below, then click on the Send It button. This will automatically email your request to the apropriate MMA staff personnel.

Company Name:
Membership Calculation:
Membership dues begin at a $275 base
rate plus a charge per truck in operation
under your company's license.

Base Rate:   $275
Trucks 1-5: x $95 =
Trucks 6-10: x $55 =
Trucks 11-40: x $35 =

Total Annual Dues:  

Membership Benefits
  • Tariff Participation, Filing & Updates
  • Forms available for purchase
    (Bills of Lading, Info, Guides, etc)
  • Yearly Membership Directory
  • Quarterly Newsletter "The Carrier"
  • Annual Convention held each winter
  • Annual Fall Conference
  • Spring Leadership Development Seminar
  • Hertz Discounts
  • Discounted Insurance Programs
    (Personal, Business & Employees)
Primary Contact:
Street Address:
 
City:
State:
Postal Zip Code:
Phone:
Fax:
E-Mail Address:
Website:
License Number: **
Number of trucks
  operated under
     this license:
Additional Comments:
  
A downloadable version of this form is available in .PDF format for use via fax or postal mail.
**Membership and participation in the Intrastate or Commercial Zone tariffs are subject to verification with the MPSC. Any questions regarding your company's authority to transport household goods in the state of Michigan can be directed to Phil Carlisle of MPSC at (517) 241-6105.