Join Citizen’s Oil Co-op Fill out the form below to join! Membership Plans * Low Volume Oil Co-op Membership - $20.00Senior (55+) Oil Co-op Membership - $25.00Standard Oil Co-op Membership - $35.00 * Senior Membership is for members ages 55 & older. * Low Volume Membership requires an annual volume of under 300 gallons annually Processing Fee: $10.00 Name * Home address * StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Mailing Address Same as Home Yes No Mailing address StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Email * Primary Phone * Primary Phone Type CELL HOME BUSINESS Secondary Phone Secondary Phone Type CELL HOME BUSINESS I'm interested in discounted oil deliveries Yes No Current Oil Provider (optional) I would like to stay with my current oil provider if they participate in the Co-op Yes No I'm interested in discounted propane deliveries Yes No Current Propane Provider (optional) I would like to stay with my current propane provider if they participate in the Co-op Yes No I'm interested in FREE solar consultation for my home Yes No I'm interested in home energy audit Yes No I would like FREE home or auto insurance quote Yes No Did a member or organization refer you? Please enter the Oil Co-op members full name so we can make sure that they get the credit! Thanks! Are you affiliated with any organizations that might want to know about the Co-op? Yes No Organization(s)
