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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

Company Name *
Please add your company name.

Leave Blank

Phone *
Please add your company phone number.

Website

Email *
Please add a valid email.

Physical Address

Address line 1

Address line 2

Country

City

State

State

State

Postal Code

Mailing Address

Same as physical address

Address line 1 *
Please add your address.

Address line 2

Country *
Please add your country.

City *
Please add your City.

State *
Please add your State.

State

State *
Please add your State.

Postal Code *
Please add your Postal Code.

Step 2:

Additional Info

Business Description (500 char max)

Directory Category

Number of C-Stores

Brand Codes

Store Name

Additional Category #1

Additional Category #2

Step 3:

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 Address in Step 1

Address line 1 *
Please add your address.

Address line 2

Country *
Please add your country.

City *
Please add your City.

State *
Please add your State.

State

State *
Please add your State.

Postal Code *
Please add your Postal Code.

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 *
Please add your country.

City *
Please add your City.

State *
Please add your State.

State

State *
Please add your State.

Postal Code *
Please add your Postal Code.

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 Distributor - Marketer Member
Marketer Members are companies engaged in the sale of fuels or lubricants, the wholesale distribution and sale of products sold in convenience and grocery stores, the ownership of operation of convenience stores or grocery stores. Dues for petroleum distributors are based solely on fuel gallons sold in Texas. Dues for all other categories are based on gross sales, exclusive of lottery and fuel sales for grocery/convenience retailers. See fee schedule and enter fee here:
Please enter your fee.

Grocery Distributor - Marketer Member
See fee schedule and enter fee here:
Please enter your fee.

Grocery/C-Store Retailer - Marketer Member
See fee schedule and enter fee here:
Please enter your fee.

Refiner/Supplier Member $ 2,250
Persons, firms or corporations engaged in refining of crude oil into petroleum products including gasoline, diesel fuel and lubricants.

Independent Lubricant Manufacturer Member $ 1,500
Persons, firms or corporations strictly engaged in refining of crude oil into lubricants.

Supplier Member $ 800
Supplier members include equipment manufacturers and vendors of products and services that support the operation of fuel marketers and/or grocery/ convenience retail owners/operators.

Trade Association Member $ 5,000
Non-profit organizations which are established to represent persons, firms or corporations engaged in the petroleum distribution, food distribution grocery or convenience store industries.

Independent Operator Member $ 100
Persons, firms or corporations who exclusively own and/or operate no more than two retail motor fuel facilities.

Senior Member $ 100
Any individual who had retired from active participation in the represented industries and who has completed a minimum of ten (10) years as an active member of the Texas Food & Fuel Association, TGCA or TPCA. Includes spouse.

Additional Options:

181 Club Contribution $181 one time
You can include a contribution to the 181 Club along with your application. Corporate payments accepted. * 181 Club Contributions are corporate contributions underwriting such events as Auctions, Golf Tournaments, and other special fundraising activities.

Payment Option

Bill Me

Charge my credit or debit card

Please complete the Captcha

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