Associate Membership Application

Associate Membership shall be composed of corporations, firms or individuals engaged in some industry or business affiliated with distributive energy products and related services. All Associate Members shall be entitled to be voting members.

Annual membership dues are $1,530.00 per year. You may pay your membership dues by credit card or check.

If you choose to pay by check, it must be sent within 10 days to:
For questions about membership please contact us at 617-924-1000 or email membercom@nefi.com.

Company Information

*Company

*Address

AL AK AR AZ CA CO DC DE FL GA HI IA ID IL IN KS KY LA MA MD MI MN MO MS MT NC ND NE NH NJ NM NY NV OH OK OR PA SC SD TN TX UT VA VT WA WI WV WY

*Phone

Fax

Website

*Rep. Name

Mr.

Ms.

Mrs.

*Title

*Phone

*Email

*Rep. Name 2

Mr.

Ms.

Mrs.

*Title

*Phone

*Email

Billing Information

*Billing First Name

*Billing Last Name

*Billing Company

*Billing Title

*Billing Address

AL AK AR AZ CA CO DC DE FL GA HI IA ID IL IN KS KY LA MA MD MI MN MO MS MT NC ND NE NH NJ NM NY NV OH OK OR PA SC SD TN TX UT VA VT WA WI WV WY

*Billing Phone

*Billing Email

Company Details

Let us know about the services you offer. Please check at least ONE of the following:

Marketing

Fuel Additives

Computer Software

Other Services

Let us know about the services you provide

Payment Information

Associate Member Dues: $1530.00

Pay by credit card now.

Mail in a check. Our check will be sent within 10 days to:

NEFI, PO Box 822, Wilmington, MA 01887

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NEFI Advocacy Fund (www.nefiactioncenter.com)

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