Customer Number:
Name:
Oil Product:
00001 Unsure Product 00111 Premium Petrol 00112 Super Unleaded Petrol 00113 Motor Diesel 00114 Marked Gas Oil 00115 Kerosene 00116 Unleaded Petrol
Delivery Date:
DD 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / MM 01 02 03 04 05 06 07 08 09 10 11 12 / YY 02 03 04 05 06 07 08
Delivery Time:
O = Morning Any Time L = Late Afternoon M = Late Morning F = Afternoon Any Time Y = Any Time A = Early Afternoon E = Early Morning S = Specific Time
Order Number:
Type of Credit Card:
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