*Indicates required fields
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*Last Name
*First Name
*Mailing Address
*City
*State
*Zip Code
*Home Phone Number
*Business Phone Number
Ext.
*Email Address
* State where you desire a store
North Carolina
South Carolina
*Indicate the area(s) in which you have an interest
Asheville Area
Charlotte Area
Statesville Area
Winston-Salem Area
Greensboro Area
Raleigh Durham Area
Beach Area
Spartanburg Area
Greenville Area
Rock Hill Area
Columbia Area
Anderson Area
Myrtle Beach Area
* Indicate the type of store/business you are interested in
Store to lease
Store with property
New site to develop
* Indicate (all) the features you are interested in
Branded Fuel (BP, Citgo, etc.
Lottery
Non-branded fuel
No Lottery
Open 24 hours
Video Poker Machines
Limited hours (6-12, etc.)
No video poker machines
Deli or light food
Interstate location
No prepared food
Non-Interstate location
Beer/wine/liquor
Car wash/ATM
No beer/wine/liquor
No car wash or ATM
* Level of investment
Select Level $50,000.00 $75,000.00 $100,000.00 $125,000.00 $150,000.00 $175,000.00 $200,000.00 $225,000.00 $250,000.00 $275,000.00 $300,000.00 $325,000.00 $350,000.00 $375,000.00 $400,000.00 $425,000.00 $450,000.00 $475,000.00 $500,000.00 $525,000.00 $550,000.00 $575,000.00 $600,000.00 $625,000.00 $675,000.00 $700,000.00 $725,000.00 $750,000.00 $775,000.00 $800,000.00 $825,000.00 $850,000.00 $875,000.00 $900,000.00 $925,000.00 $950,000.00 $975,000.00 $1,000,000.00 $1,025,000.00 $1,050,000.00 $1,075,000.00 $1,100,000.00 $1,125,000.00 $1,150,000.00 $1,175,000.00 $1,200,000.00 $1,225,000.00 $1,250,000.00 $1,275,000.00 $1,300,000.00 $1,325,000.00 $1,350,000.00 $1,375,000.00 $1,400,000.00 $1,425,000.00 $1,450,000.00 $1,475,000.00 $1,500,000.00
* Type of Ownership desired
Corporation
LLC
Proprietorship
* All information supplied herein, will be held in the strictest confidence
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