First name* Last name*   Title Organization   Street address Address (cont.) City State/Province Zip/Postal code* Work Phone* Cell Phone FAX E-mail* Your Web Site       How many Gas Stations do you have: Please describe this station: Pls Select your type of station Gas Station Only Gas Station C-Store Mini 800sqft or less Gas Station C-Store 800sqft or more Gas Station and Service Bay Gas Station Car Wash C-Store Service Bay What type of POS do you have:   Click Here to Select POS Type Gilbarco GSite Gilbarco Passport Dresser Wayne Plus - 3 Dresser Wayne Nucleus Verifone - Ruby Is your POS connected via serial port to the back office PC: Pls select your POS connection Yes and it is tested and works fine No but we intend to get it in the next few weeks No we do not want it connected - manual only We do not understand the question pls advise Would you like to connect your POS to the PC and Accounting Software: Pls select which option you would like No Pos Connection Manual Entry Only Yes POS only Yes POS and Quickbooks What Gas do you sell: Unleaded Plus Supreme Diesel  Racing Other1 Other2 Are you:    Self Serve or Full Serve or Both How many tanks do you have: Blended or non blended: Non Blended Blended If blended please fill out the percentage below of unleaded and supreme What is the blend ratio per grade:  Plus   :   Unleaded and  Supreme   (note must add up to 100%) Other 1:   Unleaded and  Supreme   (note must add up to 100%) Other 2:   Unleaded and  Supreme   (note must add up to 100%) If more than 3 blends please put a note below under notes What Brand of Gas Company: Non Branded Chevron Citgo Tosco 76 Shell Conoco Philips 76 Texaco Mobil Exxon BP Arco Phillips Sunoco Other   C-STORE QUESTIONS - PLS IGNORE IF YOU DO NOT HAVE A C-STORE Are you a C-Store Yes I have a C-Store No I do NOT have a C-Store and if so do you scan: Currently Scanning Non Scanning Would Like to Scan What departments do you currently have setup: Cigarettes Candy Haba Alcohol Deli Lottery Grocery Taxable Grocery Non Taxable Soda Coffee Hot Beverage Auto     Snacks Service Department Car Wash Other Profit Center ATM Branded Food   PLEASE UNCHECK ANY NOT USED ABOVE If not listed above please fill out additional departments in the comment section below Who supplies your main grocery items: Pls select your vendor Coremark McClaine Other Atlantic Dominion Medrrill Distributoing Please enter the name and phone number of your major grocery supplier and account number: What is your tax rate on the GAS and on the C-Store and other items: What accounting program do you use:  Quickbooks Peachtree QuickBooks QuickBooksPro / Premier QuickBooks Online Peach Tree MAS90 MAS200 Great Plains Other None - my accountant  Are you interested in a Critical Inventory System ? Cigarette Only Cigarette and Lottery Cigarette, Lottery and CASH PC and COMPUTER QUESTIONS What platform PC are you running: Windows XP Windows 2000 Windows NT Windows ME Windows 98 Do you have Microsoft Office with Access ? No I do not have MS ACCESS PROGRAM Yes I have Access 97 Yes I have Access 2000 Yes I have Access 2002 Yes I have Access for XP What Internet connection do you have at the Office: None Dial Up 56K DSL ISDN Cable T1 at Home: None Dial Up 56K DSL ISDN Cable T1 Do you have a router or hub and if so which make None SMC LinkSys Other and how many computers on the system: 1 2 3 4 5 or more Do you currently use a back office system if so which one - pls give a brief description of your concerns and problems: PLEASE ENTER ANY NOTES BELOW AND THANKS FOR FILLING THIS OUT and WE WILL CONTACT YOU IN LESS THAN 24 HOURS Website Disclaimer | Contact | SIGMA OIL CORPORATION P.O.Box 2022, La Mesa Ca 91943-2022 Fax: (619) 464-5569 copyright. allrights reserved Sigma Oil Corporation. site designed and developed by Reubro International