First Name

Last Name

Email

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Comments / Notes (optional)

Questions:

Question 1: Do you have a need for Diesel supply, either for your vehicles or on site?

Question 2: Who is in charge of your fleet and responsible for Diesel purchase?

Question 3: Where do you currently fill up?

Question 4: How many times a week do you fill up?

Question 5: How many litres do you fill up in a week?

Question 6: How much do you currently spend on Diesel per month?

5+12?