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Fleet Referral
Fleet Referral
Please fill out for in its entirety.
Fleet Referral Form
Fleet Referral Form
If you are human, leave this field blank.
Date
*
Team Member Information
Team Member Name
*
Par Mar Store #
*
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941
Dropdown
BP
Citgo
Exxon
Marathon
Shell
Sunoco
Unbranded
Valero
Fuel Brand
SVB or Site Number
*
can be found on bottom of receipt
Lead Information
Company Name
*
Phone Number
*
Person you spoke with:
*
Fleet Contact Person:
*
How did they pay today?
*
Credit Card
Cash
Check
Fuelman
Other
if "Other", put in notes
Notes
Submit
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