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Member Application
Step 1:
Member Info
Step 2:
Additional Info
Step 3:
Primary Contact
Step 4:
Billing Contact
Step 5:
Membership Options
Step 1:
Member Info
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Mailing Address
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Afghanistan
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Caribbean
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Russia
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Singapore
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Sweden
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Maryland
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State
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Postal Code
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Social Network Addresses
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Step 2:
Additional Info
Business Description (200 char max)
*
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Business Keywords
*
(enter a space between words)
Please add your business keywords.
Directory Category
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Accounting & Other Financial Services
All Other Business Support Services
All Other Specialty Trade Contractors
Asphalt/Concrete Services
ATM Sales & Service
Bitcoin Kiosks
Branding/Imaging
Building/Facility Maintenance
Bulk Plant Petroleum Storage Equipment
Business Associations
C-Store Beverage Supplier
Car Wash - Equipment/Supplies/Services
Commercial Banking
Common Carriers/Transporters
Construction & Renovation
Consulting Services
Convenience Store Retail
Convenience Store Services
Convenience Stores
Crude Petroleum and Natural Gas Extraction
Data Processing, Hosting, and Related Services
Electrical Services
Environmental & Remediation Services
Fuel Cleaning
Gasoline Stations with Convenience Stores
General/Convenience Store Supplier
Industrial Machinery and Equipment Merchant Wholesalers
Industry Supporters
Insurance Services
Legal Services
Majors
Manufacturer/Manufacturer Representative
Marketer
Petroleum and Petroleum Products Merchant Wholesalers (except Bulk Stations and Terminals)
Petroleum Bulk Stations and Terminals
Professional Services
Real Estate
Security
Signs, Canopies, Design & Lighting (including LED lighting)
Storage Tanks - Sales, Service & Cleaning
Tobacco Sales
Transporters
Vacuum/Air
Full-time Employees
Part-time Employees
Brands
# of C-Stores
County
# of Gallons Sold Per Year
Step 3:
Primary Contact
First Name
*
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Last Name
*
Please add your last name.
Title
Phone
*
Please add your phone number.
Cell Phone
Fax
Email
*
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Contact Preference
Email
Phone
Address
Same as Address in Step 1
Address line 1
*
Please add your address.
Address line 2
Country
*
Choose...
Afghanistan
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Bermuda
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo (DRC)
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Czechia
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Ghana
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Laos
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, FYRO
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Monaco
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Türkiye
Turkmenistan
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Venezuela
Vietnam
World
Yemen
Please add your country.
City
*
Please add your City.
State
*
Choose...
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Please add your State.
State
*
Choose...
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Please add your State.
State
*
Please add your State.
Postal Code
*
Please add your Postal Code.
Social Network Addresses
Facebook
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Create Account
This Login is already in use
Login
*
Please add your login username.
Password
*
Please add your login password.
Step 4:
Billing Contact
Same as Primary Contact
First Name
*
Please add your first name.
Last Name
*
Please add your last name.
Title
Phone
*
Please add your phone number.
Cell Phone
Fax
Email
*
Please add a valid email.
Contact Preference
Email
Phone
Address
Same as Primary Contact Address
Address line 1
*
Please add your address.
Address line 2
Country
*
Choose...
Afghanistan
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Bermuda
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo (DRC)
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Czechia
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Ghana
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Laos
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, FYRO
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Monaco
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Türkiye
Turkmenistan
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Venezuela
Vietnam
World
Yemen
Please add your country.
City
*
Please add your City.
State
*
Choose...
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Please add your State.
State
*
Choose...
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Please add your State.
State
*
Please add your State.
Postal Code
*
Please add your Postal Code.
Social Network Addresses
Facebook
Twitter
Instagram
Create Account
This Login is already in use
Login
*
Please add your login username.
Password
*
Please add your login password.
Step 5:
Membership Package
Please select a Membership Package
PETROLEUM MARKETER/JOBBER
An independent business person/company who purchases gasoline, fuel oil, or other refined products from a refining company and resales the product. Often a jobber owns a bulk plant as well as gasoline stations or c-stores.
See
fee schedule
and enter fee here:
Please enter your fee.
ASSOCIATE SUPPORTER
An individual or company that supplies a product or service to the petroleum/c-store retail industry.
PATRONS
An Associate Supporter is welcome to upgrade their membership to a Patron status. A Patron member believes support of Petroleum Marketer/Jobber members warrants extraordinary support of the Association. This membership may be approved by the Board of Directors.
PATRON REFINER
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