2025 AFFILIATE MEMBERSHIP APPLICATION

2025 AFFILIATE MEMBERSHIP APPLICATION

PRIMARY CONTACT INFORMATION
Company Name*
DBA
PRIMARY CONTACT *

First NameLast Name
PRIMARY CONTACT PHONE*
Please enter a valid phone number.
FAX NUMBER (IF APPLICABLE)
Please enter a valid phone number.
PRIMARY CONTACT EMAIL ADDRESS*
example@example.com
PRIMARY CONTACT ADDRESS*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
SELECT PREFERRED METHOD OF COMMUNICATION*

SECONDARY CONTACT (IF APPLICABLE)
SECONDARY CONTACT INFORMATION - Please list name, email and phone number.
Check if address of secondary contact is the same as primary. If not - please add secondary contact's address below.

SAME AS ABOVEOther

CLASSIFICATION
DISPENSER OPERATOR (Retail)

Any company or entity which is engaged in the business of selling LP Gas or propane motor fuels and dispensing and refilling LP Gas or propane cylinders. The sale of propane is NOT the company’s primary business. These members can hold TPGA committee positions, but not board positions. Dues are based on the number of dispensers; capped at 10. $550 for the 1st, $170 for each additional/per year.
CYLINDER EXCHANGE (Retail)

Any company or entity which is ONLY engaged in exchanging LP Gas or propane cylinders. Dues are per cylinder truck based on Cylinder Truck Form 4 registration with the Railroad Commission of Texas. These members are full voting members and can hold board positions.$550 for the 1st, $170 for each additional/per year.
COMMUNITY SYSTEM OPERATOR (Retail)

A company or entity that ONLY operates and services LP Gas or propane community systems. Dues are based on the number of community systems; capped at 10. $2000 for the 1st, $170 for each additional/per year.
CONTRACTOR

A company or entity that ONLY installs or services LP Gas or propane equipment such as appliances, heating and cooling equipment, and piping and venting. This is a non-voting membership. Does not include NPGA membership. Dues are a flat fee of $165/year.
OTHER

A retail company or entity that is headquartered in the US, but outside of the state of Texas, which sells LP Gas or propane, and the company pays state association dues and NPGA dues in the headquarter state. Does not include NPGA membership. This is a non-voting membership. Dues are a flat fee of $165/year.
Classification:*

Dispenser Operator - Dues are based on the number of dispensers; capped at 10. $550 for the 1st, $170 for each additional/per year.Cylinder Exchange - Dues are per cylinder truck based on Cylinder Truck Form 4 registration with the Railroad Commission of Texas. $550 for the 1st, $170 for each additional/per year.Community System Operator - Dues are a flat fee of $165/year.Other - Dues are a flat fee of $165/yearContractor - Dues are a flat fee of $165/year.
Dispenser Operator (retail) - Number of Dispenser .

Cylinder Exchange - Special Trucks Form 4 .

Community System Operator - Number of Systems .

PAYMENT
Payment/Invoice

TPGA's accountant will invoice you for membership dues. Once payment has been confirmed/received, a confirmation email will be sent to you to acknowledge membership.

How did you hear about TPGA?
How did you hear about TPGA?

TPGAWebsiteTPGA PublicationTPGA StaffFacebookInstagramLinked-inTPGA MeetingPSC PurchaseReferred by TPGA member - please list member name
Should be Empty:

2025 AFFILIATE MEMBERSHIP APPLICATION

DISPENSER OPERATOR (Retail)

CYLINDER EXCHANGE (Retail)

COMMUNITY SYSTEM OPERATOR (Retail)

CONTRACTOR

OTHER

Payment/Invoice