Become a Member Membership Application Step 1 of 3 - Membership Type 33% What type of membership are you signing up for?* Regular Membership Associate Member (Equipment & Supply) Associate Member (Major & Wholesaler) Convenience Stores / Motor Fuels All petroleum marketers who sell heating fuels or motor fuels at retail fall into this category. MEMA dues amount are determined by the number of gallons reported (prior year or a representative year) of all retail heating oil, propane & kerosene gallons sold The following formula is used to count your MEMA dues: 0.000953 cents per gallon on the 1st 10 million gallons 0.000807 cents per gallon on the 2nd 10 million gallons 13% is included for EMA Dues Maximum MEMA/EMA dues are $17,550* Minimum MEMA/EMA dues are $599 All companies that do not sell heating oil or propane at retail, and do not sell petroleum products at wholesale, fall into the Associate Member – Equipment & Supply category. Membership dues are based on the number of employees the company has, as follows: 1-15 Employees = $399 ($353.00 + 13% EMA Dues) 16+ Employees = $798 ($706.00 + 13% EMA Dues) All companies who primarily sell motor fuels fall into the Associate Member – Convenience Store category. MEMA dues are based on the number of stores owned: 1-3 Stores = $296.00 ($262.00 + 13% EMA Dues) 4+ Stores = $296.00 + ($50 per store over 3 stores + 13% EMA Dues) All companies who do not sell heating oil or propane at retail, but who do primarily sell petroleum products at wholesale, fall into the Associate Member – Major Oil Co. & Wholesale category. MEMA dues are a flat rate of $4,452 Smaller wholesalers can pay $2,100 Please tell us how many gallons you sell annually:*Please tell us what your company does?* Please tell us how many employees your company has:*Select Company Size1 - 15 employees16+ employeesPlease tell us how many stores you have:*Please enter a number greater than or equal to 1.Please tell us how many CDL class participants you you plan to enroll in MEMA’s CDL classes this year.*Associate Member (Major & Wholesaler) Dues Price: Associate Member (Equipment & Supply) Dues 1-15 Price: 1-15 Employees = $380 ($336.00 + 13% EMA Dues)Associate Member (Equipment & Supply) Dues 16+ Price: 16+ Employees = $798($706.00 + 13% EMA Dues)Convenience Stores / Motor Fuels (3 Stores or less) Price: 1-3 Stores = $262.00 + 13% EMA DuesConvenience Stores / Motor Fuels (4+ Stores) Price: $282.50 4+ Stores = $50 per store (over 3 stores)13% EMA Dues (4+ Stores) Price: $0.00 0.000908 x annual gallons soldCalculate EMASub Total Reg MemberMin Regular Member Dues (Including 13% EMA Dues) Price: Calculated Regular Member Dues Price: $518.00 Total $0.00 Contact InformationPlease provide the contact information for you and your company.Contact Person's Name First Last Company Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Company Name Phone NumberEmail Address* Fax Number Total $0.00 PreferencesPlease tell us a little bit more about what benefits your most interested in. Are you interested in finding out more about MEMA's Group Health Insurance Plan? Yes Are you interested in finding out more about MEMA's Workers' Compensation Plan? Yes Questions / CommentsTotal $0.00 Payment Options* Pay Pal Send A Check Please make checks payable to Maine Energy Marketers Association Address: Maine Energy Marketers Association 25 Greenwood Road Brunswick, ME 04011 UntitledFirst ChoiceSecond ChoiceThird ChoiceEmailThis field is for validation purposes and should be left unchanged. Δ