2020 Membership Application - Join the LBRCA today Help push for safer roads, fairer loads and less red tape

Join the LBRCA today
                                              Help push for safer roads, fairer
                                                       loads and less red tape

               2020 Membership Application
                                   02 6295 6651 | members@lbrca.org.au | www.lbrca.org.au

Proud LBRCA Blue Ribbon Sponsors

Membership Fees and Payment
Contact Details
Company Name: _________________________________________ ABN: _____________________________

Postal Address: _______________________________________________________________________________

Contact Name: _________________________________ Contact Position: ______________________________

Phone: ________________________________________ Email: _________ ______________________________

LBRCA Member Update is a weekly e-news providing members with industry information on current events that affect
the heavy vehicle industry. The LBRCA Member Update will be sent to the email address listed above each Monday.

 Please tick this box if you do not wish to receive the LBRCA Member Update.

Type of Operation
 Livestock             Bulk (Hay/Grain)        Wool                 Fuel             Water             Fertiliser
 Heavy Haulage         Construction            Forestry             Mining           Towing             Waste

Classification of Operation
 Large Road Freight Company                Medium Road Freight Company                 Small Road Freight Company

 Owner/Operator             Sub-Contractor             N/A

Membership Fees (inc. GST)
Membership fees are calculated per truck. For operators with a fleet of 10+ please contact the Secretariat on 02 6295 6651

                                                        Quantity                              Sub-Total (inc. GST)

Small Rigid                         $135.00             x _______                             $ ________________

Prime Mover & Trailer               $250.00             x _______                             $ ________________

Truck & Dog                         $250.00             x _______                             $ ________________

Driver/Non-Industry Active          $115.00             x _______                             $ ________________

                                                        Total Amount Due (inc GST)            $ ________________

Payment
 Credit Card             Visa           Mastercard

                         Card Number: _________/_________/_________/_________ Expiry: ____/____ CSV: ______

                         Name on Card: ______________________________ Signature: ________________________

 Cheque                 Enclosed

 Direct Deposit         BSB: 082-774 Acc No: 198 057 132 Acc Name: Livestock and Bulk Carriers Association

Supplier Information
As an LBRCA member, you are eligible to receive exclusive benefits from our Blue-Ribbon, National, and other major
sponsors (from time-to-time). If you have existing accounts/policies with these suppliers, please provide your relevant
fleet and account numbers below. If you are interested in receiving more information about the offers from these
companies, please tick the relevant boxes.

BP Australia:           Card No_______________________________________________
                                                                                 Please send more info

NTI:                    Policy No ______________________________________________
                                                                                   Please send more info

Beaurepaires:           Account No ___________________________________________
                                                                                 Please send more info

Lowes:                  Account No ___________________________________________
                                                                                 Please send more info

Westfund:               Policy No______________________________________________
                                                                                  Please send more info

The following information assists us to identify opportunities for future sponsorship.

Who is your truck supplier? _______________________________________________________________________

Who is your engine supplier? ______________________________________________________________________

What are the top two issues concerning you or impacting on your business now?

1. ____________________________________________________________________________________________

2. ____________________________________________________________________________________________

How did you hear about the LBRCA? ________________________________________________________________

Privacy Policy: Your privacy is our priority. All information you have provided will help us process your application to become an LBRCA
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 LBRCA Privacy Policy, a full copy of which can be
found at www.lbrca.org.au. You consent to the personal information contained in this form and any other personal information you provide either
the LBRCA and the ALRTA being collected, used and disclosed by the LBRCA 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.

 Please tick this box if you do not consent to your personal information being collected, used and disclosed by the LBRCA and the
  ALRTA for the purposes and in ways set out in the privacy policy.

LBRCA CONTACT DETAILS
Please return your completed membership application form to the LBRCA Secretariat:
PO Box 4243, Manuka ACT 2603 or Level 3, 25 National Cct Forrest ACT 2602

Email: members@lbrca.org.au                 Web: www.lbrca.org.au              Phone: 02 6295 6651                Fax: 02 6176 2090

Membership Overview
The Livestock, Bulk and Rural Carriers Association (LBRCA) are a community of transport operators delivering
Australia’s essential agricultural products throughout country NSW. Together we are working to achieve a productive,
efficient, and safer industry for the future.

LBRCA is at the forefront in seeking important industry reforms. We drive a strong policy agenda focused on achieving
positive changes to sustain and improve our industry. We take PRIDE in collaborating with a wide range of stakeholders to:

` PUSH for greater heavy vehicle access, particularly to the farm gate
` REFORM industry red tape to gain productivity and efficiencies in member operations
` INCREASE higher productivity vehicle networks
` DEVELOP practical pathways and solutions to increase supply chain efficiency
` ENSURE our members are treated fairly on and off the road

Member Benefits
Membership with the LBRCA offers you a host of exclusive benefits supplied by our Blue-Ribbon partners. Additionally,
as an LBRCA member you automatically receive affiliate membership with our national body, the Australian Livestock
and Rural Transporters Association (ALRTA) who will advocate on relevant national issues on your behalf.

This means you are well-covered on both state and national issues as well as having exclusive access to not only special
member-only benefits from our Blue-Ribbon sponsors, but also all ALRTA National sponsors.

THESE INCLUDE:
` Personalised advice and insurance solutions from AEI Insurance, access to quality products and services as well as
   specialised service from Icepack, King Bars, Haddtrack, Truck Art Trailers and save 5% on health insurance for you
   and all your employees from the team at Westfund Health Insurance.

` Special offers and discounts on tyres and associated products from Beaurepaires, huge industry savings on your fuel
   purchases through BP+ and Lowes Petroleum, and personalised advice and service from Cummins, National
   Transport Insurance, PACCAR & Dealer, PACCAR Parts and Byrne Trailers.

` Members will save up to 50% on accreditation of commercial Transported Stock Statements, will be kept up-to-date
   with industry news through a weekly member update, and will receive exclusive access to LBRCA networking events.