AMSOIL Ordering & Help Desk 1-800-579-0580

Call 24/7 to order!
Save Money

   
     

"Preferred Customer Membership Application"

Simply fill out this form and we will process your account instantly during regular business hours and reply during that time (generally the same day) with your membership number. In most cases you can order the same day you complete this form. This is a Secure Server.
Although you will be mailed the entire packet, we will email you the price guide to get you started sooner.

Note: Your Email will be used for UPS shipments. We email your package tracking #s to you on all orders, even if you call them in on the phone so you know whereyour order is.

Name:
Street Address:
City:
State:
Zip Code:
Phone Number:
Email:
Registration Type: $10 Six-month trial $20 Twelve month membership
Card: MC Visa AMEX Disc
  Check if cardholder is same as name & address given above.
Credit Card Acct. Number: (include 3-digit number on the back)
Expires: Month Year
  Please complete the following if cardholder differs from above.
Name:
Address:
City/State/Zip Code
This information is sent securely using Secure Socket Layer (SSL) encryption.