New Member Application

Apply Online Here!!
Please fill out completely and click on "Submit" You will be directed to the "Dues Payment" page.
If you are not directed to the "Dues Payment" page automatically, you may need to clear your browsing history and delete your cookies in your web browser.
Select the dues option to match your member type to complete the application process.
Thank You and Welcome to the Maine Professional Drivers Association
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Dues - Member Type Applying For (select one) *

Individual Member ($25) Individual Lifetime Member ($250) Supporting Member ($100) Supporting Lifetime Member - ($1,000)

* Indicates required field

Full Name (First, MI, Last, Suffix) *

Title - (if Supporting (company) Membership) *

Company *

Address *

City and State *

Zip Code *

Home Phone *

Cell Phone *

Office Phone (Supporting Members) *

Email *

Spouse (if individual member) *

Your Age (optional) *

Years with current company *

Years in trucking industry *

Number of Safe Driving Miles (if individual member) *

Number of years since last violation *

Number of years since last accident *

How did you hear about us? *

Friend Member At an event Other

Comments *

After you click "Submit Application", you will be directed to our "Dues Payment" page to submit your appropriate dues amount. Thank you for your application. We will respond as soon as possible.
Welcome to Maine Professional Drivers Association!

Submit Application

"Print and Mail" Application

New Member Applications