Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Contact Name *

First Name

Last Name

Membership Sector - Please Choose ONE of the following: *

(Plus additional graduated fee if applicable - See Membership Fees page for example)

Service Contractor $325.00 +HST

Manufacturer’s Agent $400.00 +HST

Equipment Wholesaler $750.00 +HST

Non Industry Affiliate/ Associate $400 +HST

Branded Distributor of Major Oil Company Member $600.00 +HST

Equipment Manufacturer $1000.00 +HST

Major Oil Company $10,500.00 +HST

Independent Petroleum Distributor Minimum Fee of $400.00 +HST