981 N. Liberty Street Harrisonburg, VA. 22803         (540) 434-4321

New Customers

Thank you for being a Rockingham Petroleum customer. We are working hard to ensure your satisfaction with each product and service that we provide.


Below, please find download materials, including credit applications that may be associated with your account.

Note: The forms below are scanned documents.  We recommend printing these documents and completing in printed ink.  You may drop off your completed form(s) during normal business hours, or mail or fax them to our office at PO Box 168, 981 N Liberty St., Harrisonburg, VA 22803; Fax: (540) 564-1348.  Thank you.

1. Southern States Cooperative Retail Credit Application

2. Credit Card Authorization Form

3. Co-op Membership Application (for farmers)

4. Tax Exemption Form





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981 North Liberty Street  |  Harrisonburg, VA 22803                                 (540) 434-4321         Contact Us