Wholesale Membership Application

Wholesale Membership shall be composed of corporations, firms or individuals engaged in the wholesale distribution of energy products and related services. All wholesale Members shall be voting members.

Annual membership dues are $2,650.00 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.

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:

Company Details

Let us know about the products you provide.
Please check at least ONE of the following:

 Heating Oil
 Diesel
 Kerosene
 Biodiesel
 Propane
 Bioheat
 Lubes
 Biomass

Let us know about the services you provide.

Payment Information

  Pay by credit card now. $2650.00 will be added to the cart.
  Mail in a check. Our check for $2650.00 will be sent within 10 days to:

NEFI
PO Box 822
Wilmington, MA 01887

Send Information Regarding

 NEFI Advocacy Fund (www.nefiactioncenter.com)
 Marketing Opportunities with NEFI
 Drug & Alcohol Testing Program for DOT Compliance
 Exposition and Conferences
 Education & Training with NEFI
 Oil & Energy Magazine

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