CDLDU Membership Form

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Include a submember in your membership registration

Monthly Driver Membership - $15

Annual Founding Driver Membership - $150

I would like to automatically renew my membership

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First Name *

Last Name *

Submit as a company

Address Line 1 *

Address Line 2

City *

State/Province *

Zip/Postal Code *

Country *

Company Name

Email *

How did you hear about us? *

If Applicable, enter Referred by #

CDL License Number *

Upload a picture of your current CDLicense (front) *

Upload a picture of your current CDLicense (back) *

Industry Segment *

Driver Description *

Home Phone *

Cell Phone *

You are granting us permission to contact you by phone *

Yes

Birthday *

I certify that I am over the age of 18 years old *

Yes

Gender

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Include a submember

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Choose Existing Contact(s)

Membership Level *

I would like to automatically renew my membership

First Name *

Last Name *

Email *

How did you hear about us?

CDL License Number

Upload a picture of your current CDLicense (front)

Upload a picture of your current CDLicense (back)

Driver Description

Home Phone *

Cell Phone

You are granting us permission to contact you by phone *

Yes

Date Of Birth

I certify that I am over the age of 18 years old

Yes

Gender

Add {{subMemberDisplayName}}

Secure Payment

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Discount Code

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Order summary

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Discounts -{{formatAmount(orderSummary.discounts)}}

Total {{formatAmount(orderSummary.total)}}

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Card

or enter your card details below

Cardholder First Name *

Cardholder Last Name *

Cardholder Email

Card *

Billing address is the same as mailing address

Address Line 1

Address Line 2

City

State/Province

Zip *

Country

Amount:

{{formatAmount(totalAmount)}} USD

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Become a Member Today!

CDL Drivers Unlimited, Inc.

4631 Brown Avenue
Jacksonville, Florida 32207

Mail: info@cdldriversunlimited.com

Tel: 855-235-6500

Membership level allows for a maximum of {{term.subMemberAllowed}} submembers.

	Contact Name	Membership Level
	{{item.contactName}}	{{item.membershipLevel==null?'-':item.membershipLevel}} {{item.startDate}} - {{item.endDate}}
No contacts.