The Association for Delivery Drivers

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Member Services

Signup

Delivery Companies

1. Driver Profile

2. Licensing / Vehicle

3. Cargo / Benefits

4. Payment

Note: Asterisk (*) indicates that the field is required

View Instructions

* First Name:
Middle Name:
* Last Name:
Business Name:
Business Type:
* Best Time to Reach You:
* Phone (xxx-xxx-xxxx):
Phone Type:
Backup Phone Number (xxx-xxx-xxxx):
* Email:
* Confirm Email:
* Street Address:
Street Address 2:
* City:
* State:
* 5-Digit Zip Code:
* Gender:
* Tax ID Number (FEIN):
Contracting Carrier Code:
* Primary Contracting Carrier:
2nd Contracting Carrier (if any):
3rd Contracting Carrier (if any):
Preferred Language:
* Choose a Password:
* Confirm Password:

Note: Asterisk (*) indicates that the field is required

View Instructions

* Driver's license number:

* State issuing driver's license:

* Commercial Driver’s License (CDL)?:

* Date when you first obtained a CDL (mm/dd/yyyy):

* Do you have Federal (DOT) Motor Carrier Authority?:

* If you have Federal Authority, specify your docket number (DOT or MC):

* Do you have State Motor Carrier Authority?:

* If you have state authority, specify the states:

* Date of Birth (mm/dd/yyyy):

* Years of delivery driving experience:

* Select your Full-Time/Part-Time status:

* Number of subcontracted or employee drivers:

* Vehicle type:

If vehicle type is 'other', describe here:

* Vehicle Make:

* Vehicle Model:

* Vehicle Year:

* Vehicle Liability Insurance Limits:

* Miles driven annually for delivery work (approximate):

* Distance you typically drive for a delivery. If you drive routes, enter the typical distance between stops:

* Longest distance you normally drive to make a delivery:

Check box to grant A4DD permission to run your motor vehicle report, if this is required for a member service you request (ex: MVR)

Note: Asterisk (*) indicates that the field is required

View Instruction

CARGO:
* Cargo Weight – how many packages/items weigh more than 100 lbs?:

* Types of Cargo you transport (select top two from the list):
	(Select items using ctrl + left click)

Cargo you DO NOT transport (Select all that apply):
	(Select items using ctrl + left click)

TYPE OF WORK YOU DO:
* Commercial work percentage:	%
* Residential work percentage:	%

* On-Demand work percentage:	%
* Routed/Scheduled work percentage:	%
Other work percentage:	%

ASSOCIATION BENEFITS YOU ARE INTERESTED IN (Select all that apply):

Insurance

Regulatory Information

Traffic, Tolls & Road Use Info

Training & Safety

Vehicle Care

Business Management Tools

Invoice & Delivery Manifest Forms

Help on Licensing or Legal Matters

Work Opportunities/Advertising

Tax Assistance / Financial Advice

I wish to advertise my services to ADD Contracting Carriers (at no additional cost)!
Sign me up for ADD’s Safety Sweepstakes, and a chance to win $100+ each month!
Send ADD’s blog/newsletter, “Your Bottom Line”, to my email address

By clicking the “I Agree” button below, I agree to all of the following terms and conditions of membership.

Membership Terms and Conditions

I certify that I have personally completed this Sign-Up Form, and that all of the information is correct and true. I understand that the information provided is incorporated into my Member Profile. I agree to update my Member Profile online to maintain the truth and accuracy of its information. I understand that companies providing benefits to Association members rely on the accuracy of my Member Profile, and I accept that material misrepresentations within it may be grounds for voiding, terminating or altering my membership benefits.

Release and Permission

I give my permission for the information contained in my online Member Profile, which I provide during the Sign Up process and other usage of this website, to be shared with service providers who arrange with the Association to provide benefits to members, and with ADD Contracting Carriers who may do business with members and refer drivers to the Association. I authorize ADD Contracting Carriers who are considering offering me opportunities for delivery work to view my Member Profile information, to check my references, to order Motor Vehicle Reports, and to conduct other background checks on me as they see fit from any person, entity, or other source. I acknowledge and accept that such background checks may encompass criminal history, alcohol or drug test results, general character and reputation, and any other information about me that could impacts my fitness or desirability as a delivery driver. I indemnify and hold harmless the Association for Delivery Drivers, LLC and its Members, Officers, and affiliates for all liability resulting from the sharing of my Member Profile information as described above.

Solicitations

I understand that as a result of the authorized sharing of my Member Profile information I may receive unsolicited messages from parties who have access to this information. I declare and agree that the Association for Delivery Drivers, LLC and its Members, Officers, and affiliates shall not be responsible for any such messages or solicitations, nor for any consequential loss or damages that may result therefrom.

Rights and Freedoms

I have voluntarily and of my own free will provided all Member Profile information. This information may be made available to service providers and ADD Contracting carriers with my full consent. I understand that I have the right and choice to not answer questions when setting up my Member Profile. I may choose not to provide certain information. I also understand that I have right and freedom to make changes or otherwise update my Member Profile information at any time.

Sign Up Options -not applicable

I acknowledge that I have elected to post an advertisement for my services on the Association website and I understand and agree that such advertisement will include Member Profile information that can be viewed by ADD Contracting Carriers that conduct a Driver Search. I understand that I can change this information by updating my Member Profile Information, and that I may be able to add additional information to my advertisement by visiting the "Advertise Yourself" feature of the Connections section of the Service Center found under the website's Member Services tab.

I acknowledge that I have elected to participate in ADD's Safety Sweepstakes for a chance to win $100+ each month, and I understand and agree that my Member Profile Information may be used in connection with publicizing the Sweepstakes, as well as with any Sweepstakes sponsors or award providers.

Website Terms of Use and Driver Forum Rules

I have reviewed the Terms of Use Terms of Use and driver Forum Rules Forum Rules posted on the Association's website and have agreed to be bound by them and abide by them.

The information provided in this membership sign-up form is true and accurate.

View Instructions

Dear ,
Please select your membership duration and click on 'Join' button.

$39.00 for full-year membership ($0.75 per week)

$25.00 for 6-months membership ($0.96 per week)

How do you wish to pay for membership?

Credit Card

Debit Card

Fund Transfer from Checking Account (EFT)

To Pay by Credit or Debit Card:

Card holder's Name:

Credit/Debit Card Type:

Credit/Debit Card Number:

Credit/Debit Card Expiration Date:

(mm-yyyy)

To Pay by Checking Account Funds Transfer (EFT):

Name of Bank:

Account Holder's Name:

Account Number:

Check routing number:

To Pay by Check or Money Order:

Mail for receipt by the 1st of the month to:

Association for Delivery Drivers
Attn. Shannon Armstrong
PO Box 620423
Oviedo, FL 32762-0423

Fax to:

877-519-2493

Email image to:

payment@a4dd.org

Note: Payment information is NOT stored by the Association for your security!

I agree to have my membership renew automatically using the same payment instructions unless I notify the Association in writing or via the website membership nonrenewal form.

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