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APPLICATION FORM

Does dealer own property & business?
Business Partnership in Site
Operating Agreement in place
Is the Site RFG or Conventional?
Blending
If no diesel and a midgrade tank is present, do you want to add Diesel?
Automatic Tank Gauging
Replace AGT
If no ATG present, will one be installed?
Current POS System
EMV Compliant
Replace POS System
POS to Order (Single/Dual/Brand)
Replace PIN Pad

Please accept this letter as an initial follow-up to our discussion concerning the possibility of your company entering into a fuel supply agreement with Quick Track Fuel. As a matter of policy, Quick Track Fuel. respects any contractual relationships that may exist between your company and other distributors, just as we expect that other suppliers and distributors will respect the contracts that we enjoy with customers. Quick Track Fuel will not interfere with an existing fuel supply contract, and preliminary discussions should not be interpreted as such. All preliminary discussions occur with the mutual understanding that you are free to enter negotiations for a new fuel supply contract. Please sign this letter, confirming that your company is contractually free to negotiate and enter into a fuel supply agreement with Quick Track Fuel. By signing this letter, you are confirming that you will not be breaching any current contracts with other suppliers and are legally able to negotiate and enter into a fuel supply agreement with Quick Track Fuel. should ongoing discussions result in an acceptable arrangement for both parties. Both parties acknowledge that by signing this letter, neither party obligates itself to do business with the other party. Please sign below and return it to me. Should you have any questions regarding this letter, please feel free to call me at 8172905546. Thank you in advance for handling this correspondence in a prompt fashion.

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