Register – ILLBA

Membership Application

Your application will be reviewed shortly by the Board. Upon approval, you will receive your member login credentials.Please note that * indicates a required field or question.

Company Information:
The information provided will be publicly available on the ILLBA website.
Company Name*
DBA Company Name (If applicable)
Company Phone Number* Required phone number format: (###) ###-####
Company Email
Company Website
Business Address:
Street Adress*
Street Address Line 2
City*
State*
Zip Code
User Information:
This person will be the point of contact for account related communication.
First Name
Last Name
Title
Phone Number* Required phone number format: (###) ###-####
Contact E-mail (Account credentials will be sent here)*
Are you a member of the National Limousine Association (NLA)?
NLA Member?
Please Select Membership Type:
Membership Type*
Please Indicate the Number of Vehicles Operated by Type:
Sedans
SUVs
Stretch Limousines
Mini Vans
Executive Vans
Limo Vans or Buses
Mini Buses
Motorcoaches
Trolleys
Total Vehicles Operated
Wheelchair Accessible Vehicles (How many of your total vehicles are wheelchair accessible?)
Service Areas (Please list the major airport codes primarily serviced by your company (up to 5) )
Reservation Management Software Used:
Software
Are You Using GNET/Gridd?
GNET Member?
Membership Tier
Please select the appropriate membership tier
Annual Membership Dues
Products / Services Offered:
Products/Services Offered

Membership Application

Company Information:

Business Address:

User Information:

Are you a member of the National Limousine Association (NLA)?

Please Select Membership Type:

Please Indicate the Number of Vehicles Operated by Type:

Reservation Management Software Used:

Are You Using GNET/Gridd?

Membership Tier

Products / Services Offered: