First Name*
Last Name*
Email*
Phone*
Address*
Address 2
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State
State
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District of Columbia
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What ZIP and County is your site located in?
ZIP/Postal Code
County
County
Los Angeles
Ventura
Santa Barbara
Kern
Tulare
Madera
Fresno
Arizona
Nevada
Other
County Other
Your Name
Current Available Investment Capital
Why Are You Contacting Us?
I'm building a new site.
I'm rebranding my existing site.
Please check all that apply:
Have retail experience
Currently own or previously owned a business
Have available cash investment of $750,000
None of the above
Are you an independent gas station owner?
Yes
No
What is your timeframe to invest?
1 Year
2 Years
3 Years+
Submit