Join Application

Membership Application

To obtain a full information packet fill out the form below and hit submit at the bottom of the page. The packet will include an application, several copies of our bi-weekly Member Letter, our annual ESEA Magazine, our membership brochure, and a dues schedule.

Regular Membership in the Empire State Energy Association is available to any individual, firm, partnership or corporation actively engaged in marketing petroleum products and the wholesale distribution of motor fuels and/or retail distribution of heating fuels.

Your Information
Name of Firm:
*Name of Individual:
*Address:

Phone:
() -
Fax:
() -
Title:
*E-mail Address:
Type Of Marketer
Wholesaler:
 Motor fuels    Heating fuels
Retailer:
 Motor fuels    Heating fuels
Wholesale Terminal Operator:
 Wholesale Terminal Operator
Location of Terminals:
Products
Products:
 Gasoline
 Diesel
 #2 Distillate
 Kerosene
 #4 Residual
 #6 Residual
 Propane
 Aviation
New York State Tax Designation
Tax Designation:
 Terminal Operator
 Diesel Distributor
 Automotive Fuel Carrier
 Retailer of Heating Oil Only
Special Areas Of Interest
Areas of Interest:
 State Legislation
 Federal Legislation
 Codes and Regulations
 Marketing
 Taxes
 Management Development
Other
Validation