Who are you?

Customer Feedback Form

Please help us to serve you better by filling out and submittingthis customer survey. Information collected here will not be shared outsideof the organization. We thank you for your input!


Name:
Email:
City of residence:
State of residence:
Your best description:
If you buy fuel, which
one do you frequently purchase?

Have you been pleased with the service provided by our company?Yes
No
Was this website helpful in answering any of your questions about our company?Yes
No

If not, could you detail how we could serve you better?
What products would you be interested in purchasing
from our company which are
not currently offered?
Please add any further
comments or suggestions:
 

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