Be A Member 12

New Mexico Passenger Transportation Association
317 Commercial St. NE Albuquerque, NM 87102
(p) 796-8377 (f) 212-0525

*	Organization/ System Name
	Organization Contact
	Address
	City
	Web Site Address
	Primary Phone
	Alternative Phone
	Fax
	Email
	What kind of transportation do you provide ?
	Which areas do you serve ?
	How many employees does your organization have ?
	May we publish your contact information in our directory and on our web site ?	Yes
		No
	How many operational vehicles do you have in your fleet ?
	Section 2: Registration Guidelines and payment information:	Trans Provider: $150.00
		Public Non Profit 50-200000 population $250.00
		Associate Members $250.00
	Length of Membership
	Please select your form of payment :	Check
		Purchase Order

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