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KPMA Associate Membership Application

  • KPMA welcomes associate businesses to join the KPMA. Dues for associate members are $475 per year. Please provide detailed information about your company and services below:
  • Membership dues are prorated to the calendar month in which you join. Complete this form and mail a check for dues to Kentucky Petroleum Marketers Association, 2365 Harrodsburg Road, Suite A325, Lexington, KY 40504, or we will invoice you for the amount of your membership upon the receipt of this form.
  • After submission of this form, KPMA will email you a copy of your invoice. Questions? Contact KPMA at 850.219.3571 or email
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