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Custom Data Cost Quote Form
Customer Information:
Name:
Company Name:
Type of Company:
Refiner
Marketer/Jobber
Dealer
Consultant
Press
Financial/Bank
Government
Others
Phone:
Email:
* Invalid Email Address
Custom Data Request Detail:
Check to select the defaults
Data Type (Default - Wholesale Price):
Select an item
Wholesale Price
Retail Price
Retail Margin
Share of Market
Share of Market Atlas
US Refinery Grade Sale
Motor Fuel demand/Consumption
Comprehensive Gasoline Station Profit
Date Range (Default - Current or Most Recent):
Select an item
Current or Most Recent
Ongoing Subscription
History
Frequency (Default - Daily):
Select an item
Daily
Weekly
Twice Monthly
Monthly
Annually
Other (Please Specify)
Markets (Default - City):
Select an item
City
County
MSA
State
Custom Region
Other (Please Specify)
Brand (Default - All Brands in Market):
Select an item
All Brands in Market
Special Brands in Market
Branded Average
Unbranded Average
Market Average
Other (Please Specify)
Class Of Trade, Wholesale (Default - Dealer Tankwagon):
Select an item
Dealer Tankwagon
Branded Rack
Unbranded Rack
Market Average
Other (Please Specify)
Class Of Trade, Census (Default - Company Operator):
Select an item
Company Operator
Lease Dealer
Open Dealer
Major Supplied
Jober Supplied
Non Branded
Re-Branded
Other (Please Specify)
Fuel Type (Default - Gasoline):
Select an item
Gasoline
RFG
Diesel
Other (Please Specify)
Fuel Grade (Default - Regular):
Select an item
Regular
Middle
Premium
Weighted Average
Service (Default - Self Service):
Select an item
Self Service
Full Service
File Format (Default - Excel): :
Select an item
Excel
DBF
CSV
TXT
PDF
Other (Please Specify)
Delivery (Default - Email):
Select an item
Email
FTP
sFTP
Fax
CD
Hard Copy
USPS
FedEx
Other (Please Specify)
Others/Comments:
Tel:(805)383-2400 Email:
lsi@lundbergsurvey.com
Fax:(805)383-2424
