TEXACO REDESIGN PROGRAM SIGN UP

TEXACO REDESIGN PROGRAM SIGN UP

PLEASE COMPLETE THIS FORM AND HIT THE 'SUBMIT' BUTTON TO BEGIN THE TEXACO REDESIGN PROGRAM PROCESS.

PETROLEUM RETAILER / MARKETER COMPANY

RETAILER / MARKETER CONTACT NAME

RETAILER / MARKETER PHONE NUMBER

RETAILER / MARKETER EMAIL ADDRESS

BUSINESS LOCATION ID / SITE NUMBER

SITE ADDRESS

CITY

STATE

SITE OPERATOR NAME

DO YOU HAVE A PREFERRED SIGN MANUFACTURER?

*PLEASE NOTE: LSI WILL DO ITS BEST TO ACCOMMODATE THE PREFERRED VENDOR REQUEST. IN THE EFFORT TO MAINTAIN REASONABLE PRODUCTION TIMES, WE MAY NEED TO USE ONE OF THE OTHER APPROVED SIGN VENDORS IN THE PROGRAM

Select

NOTICE OF PROGRAM INTENT

I intend to use LSI Industries for Project Management for the Texaco Redesign Program. Upon Approval of the proposed Brand Book and Budget Estimate, I will issue two purchase orders: (1) for Materials and Install and (1) for signage.

APPROVED AUTHORIZATION

RETAILER / MARKETER SIGNATURE AND DATE

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