For emergency relief information and waivers currently in effect, click HERE.

Menu

Retail Membership Application

Retail membership is designed to specifically meet the needs of the small retail operator. You must own and operate at least one (1) retail convenience store and no more than three (3) to be eligible for retail membership.

Dues are based on the number of stores you own and operate.

(Owner/operators of four (4) stores or more should apply as an Active member and pay dues according to their gallons sold last year.)

Personal Information


Credit Card Information


Total: