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Michigan Fuels
Marketer Registration
Thank you
for choosing Michigan Fuels!
To enable your account please
fill out this form
and
click
the submit button.
You will be asked to
supply
both your corporate information and information about the delivery destination.
A
valid email address
is required to activate your account.
Please allow up to
48 hours
for processing.
Thank you.
Company Information
Company:
Example: ABC Oil Corporation
Company Tax ID(EIN):
Contact:
Corporate Contact
Title:
Phone:
Example: (283)392-3939
Fax:
Email:
Example: purchasing@abcOil.com
Address
Corporate Address:
(Street)
(Street Line 2)
(City)
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
(State)
(Zip)
Delivery Site
Site Name:
Address:
(Street)
(Street Line 2)
(City)
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
(State)
(Zip)
Market:
AllCA
AllMI
BayCity
California
CarsonColton
Detroit
Flint
Novi
Romulus
Woodhaven
Fuels
Comments:
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