Renew Account

1. Renewal Type

Renew Your Dealership
Switch to a P.C.
Switch to a Catalog Customer

This form can be used to renew your AMSOIL dealership or that of your downline Dealers and Preferred Customers. Please complete the information below, or click the button "Retrieve Downline" to automatically populate the form.

Dealer/PC Number:

Invalid ZO/PC Number

Name:

Address:

City:

State/Province:

Zip/Postal Code:

Country:

Phone Number:

Email Address:

3. Electronic Payment Information

Direct Deposit Reloadable VISA Card

Reloadable card information already on file. Update info

First Name:

Middle Initial:

Last Name:

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Date of Birth (Month/Day/Year):

Are you currently employed outside of your AMSOIL Dealership?

Yes
No

Banking information already on file. Update info

Name of Your Bank:

Bank City:

Country Code:

Currency Code:

Routing Number:

Account Number:

Name(s) on Account:

I hereby authorize AMSOIL to electronically credit my account at the depository financial institution named above, and if necessary, electronically debit my account to correct erroneous credits. I agree that direct deposits I authorize comply with all applicable law.

I understand that this authorization will remain in effect until I notify AMSOIL in writing or by phone that I wish to revoke this authorization.

Don’t want electronic payment? No problem. We’ll mail you a paper check.

I do not want to use electronic payment at this time.

4. Membership Term

I understand that this authorization will remain in effect until I notify AMSOIL in writing or by phone that I wish to revoke this authorization.

Billing Information

Type of Credit Card:

MC Visa Discover

Credit Card #:

Expiration Date:

MONTH

YEAR

Security Code:

Check if same as name and address given above.

If Cardholder is different than name and address given above, please fill out fields below.

Name:

Address:

City:

State/Province:

Zip/Postal Code:

Note: The actual amount of taxes and shipping may vary from what has been calculated above, due to county or municipal taxes or special shipping costs. If the actual amount is more than 10% different, we will hold the order and contact you to explain the difference.

Also, please note the amount listed above for shipping is for NORMAL SHIPPING ONLY. Additional freight charges will apply for other shipping options.

Please contact [email protected] with any questions regarding this.

This information is sent securely using Secure Socket Layer (SSL) encryption.

Quick Links

Renew Account

1. Renewal Type

2. Application Information

3. Electronic Payment Information

4. Membership Term

5. Payment Information

Billing Information