CFCA Memberships Application Form Select Your Option(s) Associate Membership ASSOCIATE: Applies to businesses that supply goods or services to the petroleum and/or service station industries; however, it excludes any company, subsidiary, or related firm of any company that sells petroleum products on a wholesale or retail basis, unless that company is also a CFCA member in its proper category of marketer, retailer, etc. Associate membership includes any person or entity that has commercial interests in industry markets, waste oil, tank & equipment manufacturing, construction, tank lining, truck washing, scale operators, or c-store suppliers.$800 Broker Membership BROKER: Applies to companies that manufacture or distribute transportation fuel products but are not defined as a marketer or refiner per CFCA’s definition.$2,000 Common Carrier Membership Select Level 1-10 trucks 11-20 trucks 20+ trucks COMMON CARRIER: Applies to owners/operators of transportation services for petroleum-related products.1-10 Trucks-$1,00011-20 Trucks-$1,500 20+ Trucks- $2,000 Marketer Membership Select Level < 10 million gallons 10-25 million gallons 26-75 million gallons 76-150 million gallons 151-250 million gallons >250 million gallons MARKETER: Please select your dues based on your annual fuel and lubricants sales (all fuel types included).Marketers engaging in both wholesale and retail operations must complete separate applications for both marketer and retailer categories<10 million gallon-$1,50010-25 million gallons-$5,00026-75 million gallons-$8,50076-150 million gallons-$11,000151-250 million gallons-$15,000>250 million gallons-$20,000 Refiner Membership $6,000 Retail Membership RETAILER: Applies to owners/operators of retail sites such as truck stops, retail motor fuel facilities, or c-stores. Your dues will be calculated by the number of stores you own, which you will input on the next page.Dues:Cost:$100-First store$50 for each additional store Retired Membership RETIRED MEMBER: Applies to previous members who are now retired.$100 Enter Contact Information Prefix (i.e. Mr. Mrs. Dr.) First Name Last Name Suffix (i.e Jr. Sr. III) Designations Preferred Vendor Event Exhibitor E-mail Family NameBusiness Name View Membership Terms Next Please select a valid membership option and fee item if exist Powered By GrowthZone