Please list any company references: (i.e. A current Asphalt Institute member, industry partner, etc.)



    If you answered YES, your company primarily manufactures, markets or resells liquid asphalt/bitumen to unrelated third party companies, please check all that apply to your company:

    If you answered NO, your company does not primarily manufactures, markets or resells liquid asphalt/bitumen to unrelated third party companies, please check all that apply to your company:

    • Have a permanent liquid asphalt storage facility in North America with a minimum capacity of 250,000 barrels. (Do not combine multiple facilities to reach this number.)
    • Own and operate the storage facility.
    • The liquid asphalt storage facility(ies) is its own legal entity.
    • Do not resell more than a de minimis amount of liquid asphalt as part of our normal course of business to unrelated third party companies.

    • Have permanent liquid asphalt storage facilities in North America.
    • Purchase at least 30,000 tons of liquid asphalt annually in North America.
    • Do not resell more than a de minimis amount of liquid asphalt as part of our normal course of business to unrelated third party companies



    If applicable, please provide your parent corporation details:


    Please list any relevant subsidiary companies:


    You will be contacted within five (5) business days after submitting this form.

    Your email address and contact information will never be shared or sold to a third party.

    Last Edited on 2021-06-01