2025-2026 LRTAV MEMBERSHIP FORM

2025-2026 LRTAV MEMBERSHIP FORM
Contact Information
Business Name*
Physical Address

Street Address

Street Address Line 2

CityState

Postal Code
Mailing Address

Postal Address

Address Line 2

CityState

Postal Code
Phone*

Area CodePhone Number
Alternative Phone

Area CodePhone Number
Email*
example@example.com
ABN*
Contact Person*
Type of Operations*

LivestockWoolHayFuelFertilizerGrainHeavy Haulage / OversizeWaterTowingConstructionForestryWasteGeneralRefrigeratedOther
Structure of your Operation

Owner OperatorSmall Fleet (2-5)Tow OperatorMedium Fleet (6-19)DriverLarge Fleet (20+)Other
Types of Membership Options
Number of Prime Movers
Number of Tray Trucks
Fees
Alternative Memberships

Industry Affiliate Membership $140Driver/Retired/Non Industry Membership $50
Total Membership Amount*
Eg: 4 Prime Movers ($400)

Membership Payment

AUDPurchase LRTAV Membership Online

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Partnerships

Support comes through ALRTA & LRTAV Partnerships. This is linked to a commission scheme and the below information will assist us to ensure you receive the benefits.
Riordan Account Number
BP Account Number
AMPOL Account Number
Mobil Account Number
NTI Insurance Number
Repco Account Number
Officeworks Account Number
Truck Supplier
Engine Supplier
Do you have ICEPACK equipment on your vehicles?
Do you have KINGBAR bullbars on your vehicles?
What are the top 2 issues facing your business today?
List any priority access constraints you have?
Correspondence

Do you wish to received LRTAV newsletter?Do you wish to receive ALRTA newsletter?Do you wish to be advised of important matters via text?
Please submit this online form or print and post to PO Box 274, Echuca VIC, 3564 or email to office@lrtav.com.au

Payment can be made below or an invoice can be issued for payment.

Any questions please call Ph: 0400 933 713

Privacy Policy: Your privacy is our priority. All information you have provided will help us process your application to become an LRTAV member and obtain all benefits from your membership, including benefits provided through our affiliation with the Australian Livestock and Rural Transporters Association (ALRTA). By signing this form, you acknowledge that you have read the LRTAV Privacy Policy, a full copy of which can be found at www.lrtav.com.au. You consent to the personal information contained in this form and any other personal information you provide either the LRTAV and the ALRTA being collected, used and disclosed by the LRTAV and the ALRTA for the purposes and in the ways set out in the privacy policy. You have a right not to provide your personal information. You have a right not to provide your personal information to our affiliated body the ALRTA.
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2025-2026 LRTAV MEMBERSHIP FORM

Contact Information

Types of Membership Options

Partnerships