Since the actions of one company can affect the reputation of an entire industry, as a condition of membership, all members of the Illinois Movers’ and Warehousemen’s Association must agree to abide by an enforceable code of conduct. The membership committee review of applications will include research of complaint history with regulatory and consumer agencies and solicitation of comments from existing members (including movers and associate members/suppliers). All applications must be accompanied by payment in full for one year’s dues and proof of workers’ comp. insurance. Applicant is required to complete IMAWA’s open book test covering Compliance issues, with 75% minimum accuracy. If admitted to membership, applicant agrees and promises to pay the annual membership dues in a timely manner, abide by the bylaws and other policies and procedures as prescribed by the Board of Directors, subscribe to IMAWA’s Code of Ethics and Professional Conduct, and conduct business in an ethical manner consistent with the laws of the State of Illinois and the United States of America, or any subdivision thereof. Failure to meet these obligations may result in suspension or termination of membership and forfeiture of all membership services. Membership will be on probationary status for one year. Default Page Company Name exactly as shown on ILCC License: ILCC License Number: Company Type: Choose One Individual owner Partnership Corporation/LLC Names of all owners, partners, or officers: Name of company’s on-site general manager: GM’s # years experience in moving industry: Other movers for which GM has worked and in what job duties? Company mailing address: Geographic Location (if different from mailing address): Business Reference: Co. Name & Contact Information: Why do you want to be a member of IMAWA? Telephone: FAX: Contact person’s e-mail: # Intrastate Trucks: What is your website address (URL): Types of service you do: residential HHGoffice or industrial movesgeneral freightpack & load personal property storagerecord storageself-storage (mini-warehouse)other List other states in which you conduct transportation or storage for hire: Do you hold an interstate license (separate from any van line affiliation)? Choose One Yes No What is your van line affiliation? List all other company names in which owner(s) or GM do now provide or ever have provided moving and/or storage service: