Payment

Dues Payment

Application Type

Company Name

First Name

Last Name

Phone Number

US DOT#

Current Safety Rating

Address

Address Line 1

Address Line 2

City

State

Zip Code

Toll-Free Number

Number of Coaches in Your Fleet

Number of Wheelchair Coaches in Your Fleet

Date Business Started

Company Website

List Key Personnel

First Name	Last Name	Position

Check All Boxes that Apply to Your Company

Package Tour Operator

Own & Operate Maintenance Facilities

Charter Coach Operator

Manufacturers, Insurance and Coach Parts/Accessory Supplier

Hotels, Restaurants, Attractions (Tourism Partners)

Membership Information

Membership Type

Operator

Associate/Supplier

Tourism Partner

Number of Vehicles Operated During the Current Year

1-12

Price: $250.00

13-24

Price: $500.00

25+

Price: $750.00

Number of Employees Operated During the Current Year

1-5

Price: $100.00

6-14

Price: $400.00

15 or more

Price: $600.00

Tourism Partner

Price: $200.00

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The Northwest Motorcoach Association proudly serves the needs of Motorcoach companies throughout the Pacific Northwest States of Washington, Oregon and Idaho and Beyond.

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