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This form should be completed by the end buyer, the direct mandate, consultants or facilitators to the buyer.
Please tell us about your interest in our company, products or services.

Contact Information

Full Name
Title
Company
Address
Telephone
Fax
E-mail

What is your position:

Preferred Delivery Procedure:

Type of Crude Oil Required:

Qunatity Required BBL/Month

Length of Contract Required:

Please provide briefly any additional comments you may have.



 


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