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NORTH CAROLINA MOTORCOACH ASSOCIATION
106 Main Street, Brookneal, VA 24528
336-495-4970  FAX 336-495-5833

Membership Application for Tour Operator

Please complete information in type or print.  Forward the application along with a check in the amount of $200 made payable to NCMA, the signed Code of Ethics, two letters of recommendation from current operator members, two letters of recommendation from current associate members, a copy of business license, a copy of registration with the Office of the Secretary of State, proof of a minimum of $1 million in general liability insurance, and your company Federal ID #.  Mail to the above address.

We/I hereby apply for active Tour Operator Membership in the North Carolina Motorcoach Association. 
By signature I certify that I have been in business for a minimum of one year in North Carolina and have been engaged in packaging tours requiring charter services of operator members of NCMA, but do not own or operate motorcoaches.

Name: ________________________________      Title: __________________________

Company Name: ________________________________________________________

Mailing Address: ________________________________________________________

City: _____________________________     State: _____    ZIP: ________________

Telephone: _______________________   FAX: __________________________

Email: _______________________    Web: __________________________

Date Business Was Started: _____________________________  

Federal ID #: _____________________________  

List representative(s) who are to be listed as company contact(s) in the Directory and will be active in the North Carolina Motorcoach Association.

Name                                                                          Title

___________________________________              ________________________________

___________________________________              ________________________________

___________________________________              ________________________________

Annual Membership Fee:    $200

Membership benefits include the NCMA Annual Meeting and one listing in the NCMA Membership Directory that is distributed to all members.  Annual Meeting registration materials are sent to members only.

Signature:            _______________________________________            Date:            ______________

                        (Applicant Representative)

Please Note:  This form must be returned with a check for $200, signed code of ethics, two letters of recommendation from current operator members, two letters of recommendation from current associate members, a copy of business license, a copy of registration with the Office of the Secretary of State, proof of a minimum of $1 million in general liability insurance, and your company Federal ID #.   

NCMA FEDERAL I.D. NUMBER: 56-6062854