KNIGHT OF THE ROAD MEMBERSHIP FORM
Become a Member Today!!

KNIGHT OF THE ROAD NOMINATION FORM

KNIGHTTIME RADIO MEMBERSHIP/DAY SPONSORHIP FORM
Contact Information

TURNOVER SURVEY
The ATA has commissioned A.C.T. Research to perform a study concerning the reason for driver turnover. However, the researchers are asking the carriers, NOT the drivers. We, at KnightTime, believe the drivers should have the opportunity to speak for themselves. We believe that information will be more accurate if it comes from the people who quit. So we ask that you participate honestly and thoughfully in this turnover survey.


 


 

Membership Registration
Thank you for accepting the Knights of the Road Code of Chivalry and the Declaration of Highway Interdependence. We will send you a Knight of the Road window decal; we envision people across the nation showing support for truck drivers by displaying this decal in their window.

:
  • Knight Membership : $25.00 : Includes a t-shirt and the ability to purchase additional Knights of the Road Member merchandise.

NAME

ADDRESS

E-MAIL ADDRESS - If no email, list NONE

PHONE NUMBER

Do you accept the charge of the CODE OF CHIVALRY

Are you a truck driver? Owner/Operator? Company Driver?

Years of Experience as a truck driver

Do you participate in charitable or volunteer events or organizations? If yes, please list.


Do you participate in trucking-related events or organizations that seek to promote the image of truck drivers or to make the industry better? If yes, please list.


Have you won any awards: trucking or other? If yes, please list


Membership:

Membership Type

T-Shirt Size:

T-Shirt Color:

Shipping Information
Please fill in your shipping information below. Items marked with an asterisk (*) are required

First Name: *
Last Name: *
Address: *
 
City: *
State: *
Postal Code: *
Country:
E-Mail:
Day Phone:

Payment Information
Please fill in your payment information below. Items marked with an asterisk (*) are required.

Same As 'Shipment'

First Name: *
Last Name: *
Company:
Address: *
 
City: *
State: *
Postal Code: *
Country:
E-Mail:
Day Phone:
Payment Method:
   Master Card
   Visa
   American Express
   Discover

Number
Expiration Date
   PayPal
Enter the security code shown below *: 
Security Code: 
* For security purposes, we ask that you enter the security code that is shown in the yellow / black graphic. Please enter the code exactly as it is shown in the graphic.
 


Misc Cost $25.00
Total $25.00
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Copyright KNIGHTTIME, INC - Scranton, PA - All Rights Reserved Copyright Sheryl Youngblood - Scranton, PA - All Rights Reserved