Association of Independent Gas Station Owners in Ohio, Kentucky, Indiana, West Virginia, Pennsylvania & Michigan.
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Membership is Free of Cost.
If you are ready to become Registered igsoa Member,
please submit the following Membership request form.           

For suggestions, or requests for improvements, please use our suggestion form.

 

Membership Request Form

Manual Membership Form in Word Format

  1. Membership Type?

    Please enter below the Name of Business:
  2. Street Address:
  3. City, State & Zip:
  4. What is the Brand Name on your Service Station (if any)
  5. Your Credit Card Sales are coming to your Account or to any Fuel Supplier?
    (if any - Please Specify):
  6. Do you have any Security Deposit with any Fuel Supplier ? (if any Specify):
  7. Real Estate Owned or Leased ?
  8. Please Enter the Name of the Real Estate Owner :
  9. Please Enter Real Estate Owner's Contact Information: (Tel - Email) :
  10. Please Enter Business Owner Cell # & Email Address:
  11. Please Enter the Business Tel & Fax #:
  12. Please introduce yourself and your business with details of other business owned by you:
     
  13. Please provide us the Prime Contact Information for this Membership:

Name:

Phone:

E-mail:   

       

 

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For Manual Process or Membership Application : Manual Membership Form in Word Format

Fill it up & send by fax

 Fax to : (937) 439-1209
OR Mail it to:

Ohio Petroleum (igsoa)
P.O. Box : 751822
Dayton, OH 45475

Please be noted:
When you submit your Membership request, it will be entered into our database for tracking purposes. 
 

If you have any question, please do not hesitate to call or text to :
Habib Shah : Tel # (937) 470-9400
 
 
    

Questions or problems regarding this web site should be directed to [support@igsoa.com].
Copyright © 2012 [Ohio Petroleum Organization LLC]. All rights reserved.
Last modified: 09/03/23.