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Site Name CATEGORY

Location/City
Region Petrol Site
Total Card Availability
Non Club Card Site Diesel Site
Name of AM
Name of RM
Site Visit Date

Good Condition Faded Torn Not Installed Number Required

Dispenser Branding

Car Wash Board

Restroom Board

* Wall Branding

* Service Block Branding / Fuel Arch

Rest Room Sticker

Shop Pelmets Branding


(Fill information about Cote Sud only)

____________________
Area Manager Signature

Note *Items that will be removed in case of torn & faded

For Brand Team Use Only

Form Received On
Expected Completion Date
Comments

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